Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $46.97 / $55.16	Professional		$41.25	$46.97	$55.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $50.30 / $93.82	Professional		$42.76	$50.30	$93.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $53.13 / $86.61	Professional		$31.08	$53.13	$86.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $73.73 / $110.00	Professional		$53.73	$73.73	$110.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $48.16 / $73.40	Professional		$41.25	$48.16	$73.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $103.40 / $126.50	Professional		$85.30	$103.40	$126.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $53.76 / $92.95	Professional		$31.08	$53.76	$92.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $47.42 / $50.08	Professional		$21.47	$47.42	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $51.33 / $95.38	Professional		$27.25	$51.33	$95.38