Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $129.19 / $155.46	Professional		$103.60	$129.19	$155.46
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $121.59 / $231.04	Professional		$114.46	$121.59	$231.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $144.44 / $275.14	Professional		$100.01	$144.44	$275.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $179.52 / $241.15	Professional		$122.47	$179.52	$241.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $133.33 / $188.32	Professional		$104.66	$133.33	$188.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $111.22 / $216.70	Professional		$58.08	$111.22	$216.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $146.15 / $277.45	Professional		$102.18	$146.15	$277.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $131.44 / $141.38	Professional		$129.63	$131.44	$141.38
United Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $135.60 / $252.51	Professional		$96.52	$135.60	$252.51