Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $36.93 / $50.60	Professional		$19.04	$36.93	$50.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $57.79 / $57.79	Professional		$57.79	$57.79	$57.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $78.25 / $125.40	Professional		$63.57	$78.25	$125.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $37.28 / $50.60	Professional		$19.54	$37.28	$50.60
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 $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $41.32 / $55.00	Facility		$41.32	$41.32	$55.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $55.00 / $55.00	Professional		$41.32	$55.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $28.83 / $48.05	Professional		$21.62	$28.83	$48.05