Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $73.22 / $102.76	Professional		$36.34	$73.22	$102.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $117.35 / $117.35	Professional		$117.35	$117.35	$117.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $117.88 / $117.88	Facility		$117.88	$117.88	$117.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $136.19 / $218.26	Professional		$110.64	$136.19	$218.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $73.19 / $102.76	Professional		$39.69	$73.19	$102.76
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 $117.88 / $117.88 / $117.88	Facility		$117.88	$117.88	$117.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $83.90 / $111.70	Facility		$83.90	$83.90	$111.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $111.70 / $111.70	Professional		$83.90	$111.70	$111.70
United Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $58.55 / $97.58	Professional		$43.91	$58.55	$97.58