Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $143.16 / $168.03	Professional		$52.37	$143.16	$168.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $40.57 / $56.19	Professional		$37.13	$40.57	$56.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $80.56 / $134.86	Professional		$67.23	$80.56	$134.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $58.23 / $64.95	Professional		$46.82	$58.23	$64.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $71.52 / $143.16	Professional		$51.26	$71.52	$143.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $62.90 / $113.70	Professional		$41.30	$62.90	$113.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $80.56 / $134.86	Professional		$38.31	$80.56	$134.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $38.88 / $42.80	Professional		$38.06	$38.88	$42.80
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $31.51 / $60.61	Professional		$21.01	$31.51	$60.61