Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $67.45 / $83.16	Professional		$33.34	$67.45	$83.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $119.50 / $119.50	Facility		$119.50	$119.50	$119.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $137.00 / $219.56	Professional		$111.30	$137.00	$219.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $72.68 / $84.11	Professional		$33.34	$72.68	$84.11
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 $119.50 / $119.50 / $119.50	Facility		$119.50	$119.50	$119.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $67.90 / $90.39	Facility		$67.90	$67.90	$90.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $90.39 / $98.95	Professional		$67.90	$90.39	$98.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $47.38 / $78.95	Professional		$37.78	$47.38	$78.95