Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $69.52 / $93.33	Professional		$52.52	$69.52	$93.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $81.47 / $112.87	Professional		$69.25	$81.47	$112.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $96.66 / $163.55	Professional		$59.25	$96.66	$163.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $77.25 / $83.97	Professional		$77.25	$77.25	$83.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $71.20 / $102.73	Professional		$57.48	$71.20	$102.73
Optum Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $84.65 / $84.65	Professional		$84.65	$84.65	$84.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $84.65 / $84.65	Professional		$84.65	$84.65	$84.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $85.29 / $89.84	Facility		$85.29	$85.29	$89.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $130.84 / $163.55	Professional		$73.63	$130.84	$163.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $76.39 / $79.14	Professional		$74.45	$76.39	$79.14
United Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $90.00 / $128.19	Professional		$68.37	$90.00	$128.19