Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $214.54 / $282.04	Professional		$141.54	$214.54	$282.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $227.68 / $420.06	Professional		$219.40	$227.68	$420.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $245.30 / $411.39	Professional		$164.19	$245.30	$411.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $351.07 / $360.99	Professional		$264.95	$351.07	$360.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $223.73 / $836.28	Professional		$145.16	$223.73	$836.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $185.00 / $633.20	Professional		$5.00	$185.00	$633.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $255.94 / $432.64	Professional		$165.26	$255.94	$432.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $205.10 / $235.98	Professional		$141.30	$205.10	$235.98
United Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $315.39 / $541.47	Professional		$208.73	$315.39	$541.47