Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $134.74 / $190.95	Professional		$46.94	$134.74	$190.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $131.32 / $216.39	Professional		$126.54	$131.32	$216.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $136.59 / $248.88	Professional		$46.39	$136.59	$248.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $163.78 / $205.86	Professional		$93.92	$163.78	$205.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $137.47 / $190.95	Professional		$47.38	$137.47	$190.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $149.02 / $268.50	Professional		$34.15	$149.02	$268.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $138.29 / $254.98	Professional		$49.61	$138.29	$254.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $137.16 / $149.78	Professional		$41.18	$137.16	$149.78
United Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $160.96 / $240.58	Professional		$116.19	$160.96	$240.58