Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $61.54 / $108.50	Professional		$26.36	$61.54	$108.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $100.72 / $168.29	Professional		$97.05	$100.72	$168.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $69.31 / $131.34	Professional		$27.77	$69.31	$131.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $153.96 / $153.96	Professional		$119.40	$153.96	$153.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $69.48 / $121.33	Professional		$27.15	$69.48	$121.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $71.50	Professional		$71.50	$71.50	$71.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $69.47 / $131.91	Professional		$25.26	$69.47	$131.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $70.67 / $105.43	Professional		$30.82	$70.67	$105.43
United Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $92.41 / $150.32	Professional		$57.86	$92.41	$150.32