Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $199.44 / $296.33	Professional		$106.56	$199.44	$296.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $228.34 / $228.34	Professional		$220.03	$228.34	$228.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $217.12 / $395.71	Professional		$120.17	$217.12	$395.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $355.36 / $454.04	Professional		$268.08	$355.36	$454.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $220.65 / $800.00	Professional		$110.82	$220.65	$800.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $150.50 / $584.79	Professional		$5.00	$150.50	$584.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $219.21 / $403.25	Professional		$122.58	$219.21	$403.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $179.79 / $250.88	Professional		$115.73	$179.79	$250.88
United Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $243.48 / $411.34	Professional		$175.07	$243.48	$411.34