Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $187.85 / $256.08	Professional		$139.71	$187.85	$256.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $207.64 / $292.02	Professional		$176.49	$207.64	$292.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $229.97 / $229.97	Facility		$229.97	$229.97	$229.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $254.06 / $415.60	Professional		$155.63	$254.06	$415.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $199.83 / $217.21	Professional		$199.83	$199.83	$217.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $199.13 / $266.44	Professional		$148.66	$199.13	$266.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $149.18 / $149.18	Professional		$149.18	$149.18	$149.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $149.18 / $149.18	Professional		$149.18	$149.18	$149.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $201.18 / $229.97	Facility		$201.18	$201.18	$229.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $332.48 / $415.60	Professional		$189.02	$332.48	$415.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $197.65 / $205.97	Professional		$192.63	$197.65	$205.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $221.56 / $351.39	Professional		$181.68	$221.56	$351.39