Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $118.44 / $200.12	Professional		$37.00	$118.44	$200.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $157.43 / $157.43	Professional		$133.82	$157.43	$157.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $111.34 / $287.68	Professional		$40.02	$111.34	$287.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $247.21 / $315.86	Professional		$186.43	$247.21	$315.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $151.47 / $700.00	Professional		$38.89	$151.47	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $74.40 / $451.40	Professional		$5.00	$74.40	$451.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $114.72 / $289.97	Professional		$41.12	$114.72	$289.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $94.59 / $170.92	Professional		$39.08	$94.59	$170.92
United Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $165.03 / $284.27	Professional		$102.95	$165.03	$284.27