Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $127.71 / $237.62	Professional		$110.16	$127.71	$237.62
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $128.27 / $285.43	Professional		$109.03	$128.27	$285.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $212.42 / $385.92	Professional		$119.43	$212.42	$385.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $195.07 / $359.92	Professional		$138.03	$195.07	$359.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $128.88 / $328.91	Professional		$110.16	$128.88	$328.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $318.20 / $440.40	Professional		$56.95	$318.20	$440.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $207.86 / $385.92	Professional		$117.54	$207.86	$385.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $116.12 / $253.20	Professional		$114.32	$116.12	$253.20
United Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $184.49 / $342.44	Professional		$128.27	$184.49	$342.44