Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $52.00	Professional		$48.75	$48.75	$52.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.40 / $162.40	Professional		$138.04	$162.40	$162.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.63 / $592.14 / $751.00	Professional		$396.63	$592.14	$751.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $300.45 / $300.45	Professional		$300.45	$300.45	$300.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $97.50	Professional		$48.75	$48.75	$97.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $109.50	Professional		$100.00	$100.00	$109.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $396.63 / $592.14 / $751.00	Professional		$396.63	$592.14	$751.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.53 / $162.53 / $162.53	Professional		$162.53	$162.53	$162.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $190.00 / $542.00	Professional		$22.43	$190.00	$542.00