Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $52.11 / $69.47	Professional		$25.26	$52.11	$69.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $103.81 / $166.37	Professional		$84.34	$103.81	$166.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $52.65 / $69.47	Professional		$27.13	$52.65	$69.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $48.40	Professional		$48.40	$48.40	$48.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $56.73 / $75.52	Facility		$56.73	$56.73	$75.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $75.52 / $75.52	Professional		$56.73	$75.52	$75.52
United Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $39.58 / $65.97	Professional		$29.69	$39.58	$65.97