Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $64.31 / $88.02	Professional		$31.13	$64.31	$88.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $100.52 / $100.52	Professional		$100.52	$100.52	$100.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $105.38 / $105.38	Facility		$105.38	$105.38	$105.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $126.72 / $203.09	Professional		$102.95	$126.72	$203.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $64.88 / $88.02	Professional		$34.44	$64.88	$88.02
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 $105.38 / $105.38 / $105.38	Facility		$105.38	$105.38	$105.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $71.86 / $95.67	Facility		$71.86	$71.86	$95.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $95.67 / $95.67	Professional		$71.86	$95.67	$95.67
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $50.15 / $110.57	Professional		$37.61	$50.15	$110.57