Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $88.18 / $159.44	Professional		$56.42	$88.18	$159.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $98.62 / $194.89	Professional		$85.25	$98.62	$194.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $88.98 / $88.98	Professional		$88.98	$88.98	$88.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $153.09 / $202.38	Professional		$117.90	$153.09	$202.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $89.16 / $315.93	Professional		$56.42	$89.16	$315.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $177.60 / $248.60	Professional		$175.70	$177.60	$248.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $88.98 / $88.98	Professional		$88.98	$88.98	$88.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $91.97 / $101.27	Professional		$90.14	$91.97	$101.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $88.75 / $169.05	Professional		$52.70	$88.75	$169.05