Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $67.40 / $82.75	Professional		$52.14	$67.40	$82.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $73.23 / $120.18	Professional		$70.56	$73.23	$120.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $69.89 / $129.36	Professional		$23.05	$69.89	$129.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $98.61 / $147.58	Professional		$87.48	$98.61	$147.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $67.40 / $93.12	Professional		$52.14	$67.40	$93.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $108.45	Professional		$14.60	$14.60	$108.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $73.22 / $124.51	Professional		$24.47	$73.22	$124.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $70.48 / $77.61	Professional		$20.00	$70.48	$77.61
United Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $62.24 / $121.82	Professional		$27.04	$62.24	$121.82