Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $73.67 / $99.80	Professional		$35.29	$73.67	$99.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $113.97 / $113.97	Professional		$113.97	$113.97	$113.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $130.82 / $209.67	Professional		$106.28	$130.82	$209.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $74.84 / $99.80	Professional		$39.04	$74.84	$99.80
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 $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $108.48	Facility		$81.48	$81.48	$108.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $108.48 / $108.48	Professional		$81.48	$108.48	$108.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $56.86 / $94.77	Professional		$42.65	$56.86	$94.77