Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $128.96 / $213.06	Professional		$95.11	$128.96	$213.06
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $148.13 / $148.13	Professional		$142.75	$148.13	$148.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $160.63 / $253.63	Professional		$108.68	$160.63	$253.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $228.08 / $233.73	Professional		$172.08	$228.08	$233.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $139.69 / $250.33	Professional		$97.89	$139.69	$250.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $152.50 / $373.90	Professional		$3.00	$152.50	$373.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $163.02 / $254.81	Professional		$108.94	$163.02	$254.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $136.83 / $149.62	Professional		$101.27	$136.83	$149.62
United Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $164.34 / $261.72	Professional		$118.02	$164.34	$261.72