Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $44.36 / $62.80	Professional		$22.72	$44.36	$62.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $71.72 / $71.72	Professional		$71.72	$71.72	$71.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Facility		$70.56	$70.56	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $93.34 / $149.60	Professional		$75.83	$93.34	$149.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $46.09 / $62.80	Professional		$24.53	$46.09	$62.80
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 $70.56 / $70.56 / $70.56	Facility		$70.56	$70.56	$70.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $51.27 / $68.26	Facility		$51.27	$51.27	$68.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $68.26 / $68.26	Professional		$51.27	$68.26	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $35.78 / $56.56	Professional		$26.83	$35.78	$56.56