Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $120.63 / $177.19	Professional		$108.92	$120.63	$177.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $128.16 / $234.15	Professional		$108.94	$128.16	$234.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $154.96 / $245.11	Professional		$116.51	$154.96	$245.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $136.91 / $186.87	Professional		$110.00	$136.91	$186.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $122.98 / $182.74	Professional		$108.92	$122.98	$182.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $231.40 / $318.60	Professional		$169.30	$231.40	$318.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $152.49 / $245.97	Professional		$116.51	$152.49	$245.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $120.83 / $173.04	Professional		$109.09	$120.83	$173.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $138.56 / $252.80	Professional		$107.10	$138.56	$252.80