Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $75.34 / $131.53	Professional		$51.30	$75.34	$131.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $124.32 / $215.95	Professional		$119.80	$124.32	$215.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $92.08 / $160.16	Professional		$53.02	$92.08	$160.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.52 / $186.36 / $186.36	Professional		$144.52	$186.36	$186.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $96.78 / $155.90	Professional		$53.88	$96.78	$155.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $106.10 / $106.10	Professional		$106.10	$106.10	$106.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $92.08 / $160.16	Professional		$48.77	$92.08	$160.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $87.86 / $119.97	Professional		$58.51	$87.86	$119.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $118.53 / $180.11	Professional		$85.31	$118.53	$180.11