Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $72.15 / $96.20	Professional		$37.65	$72.15	$96.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $109.86 / $109.86	Professional		$109.86	$109.86	$109.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $118.39 / $118.39	Facility		$118.39	$118.39	$118.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $138.04 / $221.23	Professional		$112.15	$138.04	$221.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $76.09 / $96.20	Professional		$37.65	$76.09	$96.20
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 $118.39 / $118.39 / $118.39	Facility		$118.39	$118.39	$118.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $78.55 / $104.57	Facility		$78.55	$78.55	$104.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $104.57 / $104.57	Professional		$78.55	$104.57	$104.57
United Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $54.81 / $86.60	Professional		$45.66	$54.81	$86.60