Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $128.82	Professional		$47.86	$47.86	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $162.18	Professional		$138.04	$154.88	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $758.58	Professional		$204.17	$478.63	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $125.89	Professional		$47.86	$47.86	$125.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $245.47	Facility		$100.00	$100.00	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $162.18	Professional		$51.29	$69.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $251.19 / $575.44	Professional		$22.39	$251.19	$575.44