Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $72.41 / $90.93	Professional		$35.58	$72.41	$90.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $103.84 / $103.84	Professional		$103.84	$103.84	$103.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $119.89 / $119.89	Facility		$119.89	$119.89	$119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $143.19 / $229.50	Professional		$116.34	$143.19	$229.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $73.65 / $90.93	Professional		$35.58	$73.65	$90.93
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 $119.89 / $119.89 / $119.89	Facility		$119.89	$119.89	$119.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $74.25 / $98.84	Facility		$74.25	$74.25	$98.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $98.84 / $100.66	Professional		$74.25	$98.84	$100.66
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $51.81 / $86.35	Professional		$46.13	$51.81	$86.35