Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $121.47 / $171.48	Professional		$85.36	$121.47	$171.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $142.10 / $237.35	Professional		$136.93	$142.10	$237.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $146.54 / $239.04	Professional		$97.53	$146.54	$239.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $218.55 / $224.11	Professional		$164.93	$218.55	$224.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $124.37 / $240.51	Professional		$87.20	$124.37	$240.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $282.89 / $357.50	Professional		$3.00	$282.89	$357.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $151.97 / $239.04	Professional		$98.79	$151.97	$239.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $130.47 / $142.68	Professional		$92.99	$130.47	$142.68
United Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $154.80 / $249.28	Professional		$110.43	$154.80	$249.28