Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $77.84 / $109.63	Professional		$39.72	$77.84	$109.63
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $125.20 / $125.20	Professional		$125.20	$125.20	$125.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $123.64 / $123.64	Facility		$123.64	$123.64	$123.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $149.37 / $239.39	Professional		$121.35	$149.37	$239.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $80.59 / $109.63	Professional		$42.90	$80.59	$109.63
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 $123.64 / $123.64 / $123.64	Facility		$123.64	$123.64	$123.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $89.51 / $119.17	Facility		$89.51	$89.51	$119.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $119.17 / $119.17	Professional		$89.51	$119.17	$119.17
United Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $62.46 / $104.10	Professional		$48.01	$62.46	$104.10