Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $89.69 / $89.69	Facility		$78.61	$89.69	$89.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $78.61 / $91.13	Professional		$68.30	$78.61	$91.13
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.21 / $1.21	Professional		$1.03	$1.21	$1.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.27 / $151.09	Professional		$60.00	$92.27	$151.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $139.68 / $223.86	Professional		$92.84	$139.68	$223.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $78.61 / $89.69	Facility		$78.61	$78.61	$89.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $80.20 / $97.87	Professional		$68.88	$80.20	$97.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Professional		$50.40	$50.40	$50.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $91.34 / $91.34	Facility		$91.17	$91.34	$91.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.00 / $150.83	Professional		$60.00	$90.00	$150.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $98.51 / $98.51	Facility		$98.51	$98.51	$98.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $98.51 / $98.51	Professional		$98.51	$98.51	$98.51
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $91.58 / $162.06	Professional		$74.23	$91.58	$162.06