Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $178.24 / $269.25	Professional		$102.29	$178.24	$269.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $219.64 / $219.64	Professional		$211.65	$219.64	$219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $199.67 / $393.45	Professional		$106.74	$199.67	$393.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $256.12 / $362.84	Professional		$142.50	$256.12	$362.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $214.18 / $818.00	Professional		$107.61	$214.18	$818.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $270.60 / $568.40	Professional		$148.80	$270.60	$568.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $200.08 / $388.07	Professional		$107.25	$200.08	$388.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $168.23 / $230.71	Professional		$107.14	$168.23	$230.71
United Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $230.01 / $393.66	Professional		$169.27	$230.01	$393.66