Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $73.23 / $96.74	Professional		$54.35	$73.23	$96.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $79.42 / $110.03	Professional		$67.51	$79.42	$110.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $87.36 / $87.36	Facility		$87.36	$87.36	$87.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $100.06 / $159.30	Professional		$59.35	$100.06	$159.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $76.12 / $82.74	Professional		$76.12	$76.12	$82.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $75.37 / $101.01	Professional		$59.50	$75.37	$101.01
Optum Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $89.54 / $89.54	Professional		$89.54	$89.54	$89.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $89.54 / $89.54	Professional		$89.54	$89.54	$89.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $71.43 / $87.36	Facility		$71.43	$71.43	$87.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $127.44 / $159.30	Professional		$71.77	$127.44	$159.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $74.47 / $77.48	Professional		$72.64	$74.47	$77.48
United Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $83.77 / $132.86	Professional		$71.26	$83.77	$132.86