Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $69.23 / $92.32	Professional		$36.13	$69.23	$92.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $105.43 / $105.43	Professional		$105.43	$105.43	$105.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $114.38 / $114.38	Facility		$114.38	$114.38	$114.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $135.86 / $217.74	Professional		$110.37	$135.86	$217.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $73.31 / $92.32	Professional		$36.13	$73.31	$92.32
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 $114.38 / $114.38 / $114.38	Facility		$114.38	$114.38	$114.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $75.39 / $100.35	Facility		$75.39	$75.39	$100.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $100.35 / $100.35	Professional		$75.39	$100.35	$100.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $52.60 / $83.16	Professional		$44.22	$52.60	$83.16