Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $66.73 / $75.68	Professional		$41.00	$66.73	$75.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $79.16 / $105.23	Professional		$67.29	$79.16	$105.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $89.27 / $89.27	Facility		$63.24	$89.27	$89.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $71.28 / $127.05	Professional		$32.39	$71.28	$127.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $106.72 / $159.71	Professional		$94.50	$106.72	$159.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $68.03 / $89.19	Professional		$42.05	$68.03	$89.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $115.14	Professional		$29.60	$29.60	$115.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $63.24 / $89.27	Facility		$63.24	$63.24	$89.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $71.28 / $127.05	Professional		$34.64	$71.28	$127.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $69.23 / $69.23	Facility		$69.23	$69.23	$69.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $69.23 / $76.22	Professional		$67.73	$69.23	$76.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $61.16 / $124.58	Professional		$30.43	$61.16	$124.58