Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $174.77 / $223.16	Professional		$146.56	$174.77	$223.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $282.58 / $350.36	Professional		$162.41	$282.58	$350.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $264.66 / $287.64	Professional		$211.57	$264.66	$287.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $197.05 / $225.20	Professional		$152.04	$197.05	$225.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $257.70 / $348.26	Professional		$100.90	$257.70	$348.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $167.87 / $195.87	Professional		$164.21	$167.87	$195.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $212.30 / $348.20	Professional		$147.13	$212.30	$348.20