Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $74.65 / $97.60	Professional		$38.13	$74.65	$97.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $111.46 / $111.46	Professional		$111.46	$111.46	$111.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $132.34 / $212.10	Professional		$107.51	$132.34	$212.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $74.98 / $97.60	Professional		$38.19	$74.98	$97.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $79.67 / $106.09	Facility		$79.67	$79.67	$106.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $106.09 / $106.09	Professional		$79.67	$106.09	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $55.60 / $92.67	Professional		$46.07	$55.60	$92.67