Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $83.77 / $83.77	Facility		$83.77	$83.77	$83.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $86.04 / $108.95	Professional		$75.84	$86.04	$108.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $91.19 / $161.81	Professional		$87.87	$91.19	$161.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $108.24 / $192.38	Professional		$82.90	$108.24	$192.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.66 / $190.66 / $190.66	Facility		$190.66	$190.66	$190.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $119.80 / $179.29	Professional		$99.45	$119.80	$179.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $90.77 / $227.89	Professional		$79.39	$90.77	$227.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $142.10 / $142.10 / $142.10	Facility		$142.10	$142.10	$142.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $153.80 / $219.20	Professional		$142.10	$153.80	$219.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $107.82 / $192.38	Professional		$82.15	$107.82	$192.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $86.09 / $143.72	Professional		$83.67	$86.09	$143.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $96.74 / $154.78	Professional		$74.67	$96.74	$154.78