Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $132.30 / $216.42	Professional		$86.24	$132.30	$216.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $175.73 / $175.73	Professional		$149.37	$175.73	$175.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $176.94 / $311.11	Professional		$98.21	$176.94	$311.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $271.49 / $346.88	Professional		$203.04	$271.49	$346.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $168.75 / $860.30	Professional		$88.35	$168.75	$860.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $242.73 / $390.20	Professional		$125.93	$242.73	$390.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $177.59 / $312.66	Professional		$98.21	$177.59	$312.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $169.45 / $185.35	Professional		$87.65	$169.45	$185.35
United Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $186.51 / $304.99	Professional		$134.96	$186.51	$304.99