Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $180.00 / $903.87	Professional		$152.08	$180.00	$903.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $135.22 / $295.54	Professional		$114.95	$135.22	$295.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $305.20 / $683.36	Professional		$134.53	$305.20	$683.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $212.88 / $392.05	Professional		$146.47	$212.88	$392.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $200.00 / $903.87	Professional		$152.08	$200.00	$903.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $252.68 / $431.20	Professional		$124.10	$252.68	$431.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.99 / $458.16 / $722.26	Professional		$235.99	$458.16	$722.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $138.16 / $152.08	Professional		$135.11	$138.16	$152.08
United Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $209.22 / $312.08	Professional		$147.53	$209.22	$312.08