Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $97.72	Professional		$67.61	$81.28	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.17 / $1.20	Professional		$1.00	$1.17	$1.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $147.91	Professional		$57.54	$91.20	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $223.87	Professional		$93.33	$147.91	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $107.15	Professional		$67.61	$81.28	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $97.72	Professional		$10.23	$10.23	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $165.96	Professional		$70.79	$89.13	$165.96