Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $136.19 / $269.44	Professional		$99.39	$136.19	$269.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $168.51 / $168.51	Professional		$143.22	$168.51	$168.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.21 / $174.18 / $293.79	Professional		$122.21	$174.18	$293.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $258.79 / $261.06	Professional		$194.90	$258.79	$261.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $153.71 / $456.01	Professional		$103.01	$153.71	$456.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $213.20 / $445.30	Professional		$3.00	$213.20	$445.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $176.17 / $297.94	Professional		$123.56	$176.17	$297.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $159.87 / $174.67	Professional		$110.27	$159.87	$174.67
United Facility/Professional Professional Modifier Low / Median / High Price $138.37 / $196.29 / $342.31	Professional		$138.37	$196.29	$342.31