Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $39.79 / $53.00	Professional		$20.74	$39.79	$53.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $60.53 / $60.53	Professional		$60.53	$60.53	$60.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $89.45 / $143.35	Professional		$72.67	$89.45	$143.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $39.90 / $53.00	Professional		$21.77	$39.90	$53.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $43.27 / $57.61	Facility		$43.27	$43.27	$57.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $57.61 / $62.87	Professional		$43.27	$57.61	$62.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $30.20 / $50.33	Professional		$24.71	$30.20	$50.33