Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $53.48 / $75.77	Professional		$28.00	$53.48	$75.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $86.53 / $86.53	Professional		$86.53	$86.53	$86.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $83.58 / $83.58	Facility		$83.58	$83.58	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $115.04 / $184.36	Professional		$93.46	$115.04	$184.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $54.11 / $75.77	Professional		$28.00	$54.11	$75.77
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 $83.58 / $83.58 / $83.58	Facility		$83.58	$83.58	$83.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $61.86 / $82.36	Facility		$61.86	$61.86	$82.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $82.36 / $82.36	Professional		$61.86	$82.36	$82.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $43.17 / $71.01	Professional		$32.38	$43.17	$71.01