Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $96.59 / $116.51	Professional		$91.97	$96.59	$116.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $102.58 / $157.19	Professional		$96.72	$102.58	$157.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $116.66 / $165.22	Professional		$94.71	$116.66	$165.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $99.95 / $173.19	Professional		$67.23	$99.95	$173.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $152.16 / $157.24	Professional		$118.35	$152.16	$157.24
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $101.58 / $157.19	Professional		$96.72	$101.58	$157.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $104.02 / $330.70	Professional		$91.72	$104.02	$330.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $89.24 / $149.88	Professional		$32.00	$89.24	$149.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $102.76 / $182.03	Professional		$75.95	$102.76	$182.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $95.16 / $104.75	Professional		$78.41	$95.16	$104.75
United Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $94.69 / $177.33	Professional		$70.92	$94.69	$177.33