Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.27 / $91.25	Professional		$31.60	$42.27	$91.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $53.50 / $153.10	Professional		$31.27	$53.50	$153.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $81.23 / $128.86	Professional		$31.29	$81.23	$128.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $50.11 / $65.14	Professional		$34.45	$50.11	$65.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $44.53 / $103.24	Professional		$31.60	$44.53	$103.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $34.77 / $89.80	Professional		$3.12	$34.77	$89.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $80.01 / $128.86	Professional		$31.54	$80.01	$128.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.65 / $35.82	Professional		$32.08	$32.65	$35.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $66.79 / $106.91	Professional		$39.36	$66.79	$106.91