Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $63.57 / $92.14	Professional		$33.21	$63.57	$92.14
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $105.23 / $105.23	Professional		$105.23	$105.23	$105.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.21 / $100.21 / $100.21	Facility		$100.21	$100.21	$100.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $136.47 / $218.71	Professional		$110.87	$136.47	$218.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $65.03 / $92.14	Professional		$35.59	$65.03	$92.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $40.00	Professional		$35.00	$35.00	$40.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.21 / $100.21 / $100.21	Facility		$100.21	$100.21	$100.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $75.23 / $100.16	Facility		$75.23	$75.23	$100.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $100.16 / $100.16	Professional		$75.23	$100.16	$100.16
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $52.50 / $86.36	Professional		$39.36	$52.50	$86.36