Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $56.85 / $78.08	Professional		$28.78	$56.85	$78.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $89.17 / $89.17	Professional		$89.17	$89.17	$89.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $90.57 / $90.57	Facility		$90.57	$90.57	$90.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $103.58 / $166.01	Professional		$84.15	$103.58	$166.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $56.85 / $78.08	Professional		$28.78	$56.85	$78.08
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 $90.57 / $90.57 / $90.57	Facility		$90.57	$90.57	$90.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $84.87	Facility		$63.75	$63.75	$84.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $84.87 / $88.24	Professional		$63.75	$84.87	$88.24
United Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $44.48 / $74.14	Professional		$34.76	$44.48	$74.14