Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.34 / $92.48	Professional		$54.95	$66.34	$92.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $87.78 / $125.59	Professional		$84.59	$87.78	$125.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $81.52 / $140.90	Professional		$51.87	$81.52	$140.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $123.54 / $175.18	Professional		$91.13	$123.54	$175.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $74.06 / $158.21	Professional		$57.23	$74.06	$158.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $89.37 / $159.36	Professional		$28.31	$89.37	$159.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $80.43 / $139.22	Professional		$54.40	$80.43	$139.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $78.33 / $85.04	Professional		$45.35	$78.33	$85.04
United Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $69.01 / $123.74	Professional		$45.16	$69.01	$123.74