Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $80.67 / $99.59	Professional		$38.97	$80.67	$99.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $113.73 / $113.73	Professional		$113.73	$113.73	$113.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $157.13 / $251.83	Professional		$127.66	$157.13	$251.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $81.08 / $100.37	Professional		$38.97	$81.08	$100.37
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 $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $81.31 / $108.25	Facility		$81.31	$81.31	$108.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $108.25 / $110.46	Professional		$81.31	$108.25	$110.46
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $56.74 / $94.57	Professional		$51.28	$56.74	$94.57