Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $42.75 / $57.47	Professional		$21.63	$42.75	$57.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $65.64 / $65.64	Professional		$65.64	$65.64	$65.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Facility		$64.87	$64.87	$64.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $88.88 / $142.44	Professional		$72.20	$88.88	$142.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $43.10 / $57.47	Professional		$22.45	$43.10	$57.47
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 $64.87 / $64.87 / $64.87	Facility		$64.87	$64.87	$64.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $46.92 / $62.47	Facility		$46.92	$46.92	$62.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $62.47 / $62.47	Professional		$46.92	$62.47	$62.47
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $32.74 / $53.86	Professional		$24.56	$32.74	$53.86