Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $77.06 / $103.25	Professional		$38.59	$77.06	$103.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $117.91 / $117.91	Professional		$117.91	$117.91	$117.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $126.49 / $126.49	Facility		$126.49	$126.49	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $145.54 / $233.25	Professional		$118.24	$145.54	$233.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $78.28 / $103.25	Professional		$40.40	$78.28	$103.25
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 $126.49 / $126.49 / $126.49	Facility		$126.49	$126.49	$126.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $84.31 / $112.23	Facility		$84.31	$84.31	$112.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $112.23 / $112.23	Professional		$84.31	$112.23	$112.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $58.82 / $136.13	Professional		$46.62	$58.82	$136.13