Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $156.15 / $208.96	Professional		$105.62	$156.15	$208.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $146.96 / $207.91	Professional		$124.92	$146.96	$207.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.52 / $162.52 / $162.52	Facility		$162.52	$162.52	$162.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $194.39 / $293.82	Professional		$128.49	$194.39	$293.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $140.47 / $152.69	Professional		$140.47	$140.47	$152.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $159.36 / $212.48	Professional		$110.84	$159.36	$212.48
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $162.52 / $162.52 / $162.66	Facility		$162.52	$162.52	$162.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $235.06 / $293.82	Professional		$133.37	$235.06	$293.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $140.72 / $146.32	Professional		$137.07	$140.72	$146.32
United Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $182.02 / $289.18	Professional		$149.26	$182.02	$289.18