Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $98.78 / $141.74	Professional		$51.33	$98.78	$141.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $161.88 / $161.88	Professional		$161.88	$161.88	$161.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $210.95 / $338.09	Professional		$171.38	$210.95	$338.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $100.04 / $141.74	Professional		$54.74	$100.04	$141.74
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 $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.73 / $115.73 / $154.07	Facility		$115.73	$115.73	$154.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $154.07 / $154.07	Professional		$115.73	$154.07	$154.07
United Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $80.75 / $134.59	Professional		$60.57	$80.75	$134.59