Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $83.18	Professional		$57.54	$67.61	$83.18
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 $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $154.88	Professional		$63.10	$89.13	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $190.55	Professional		$79.43	$128.82	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $91.20	Professional		$57.54	$69.18	$91.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $109.65	Professional		$60.26	$72.44	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Professional		$60.26	$70.79	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $134.90	Professional		$60.26	$75.86	$134.90