Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $78.86 / $105.14	Professional		$39.42	$78.86	$105.14
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $120.07 / $120.07	Professional		$120.07	$120.07	$120.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $124.79 / $124.79	Facility		$124.79	$124.79	$124.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $144.15 / $231.02	Professional		$117.11	$144.15	$231.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $80.84 / $105.14	Professional		$41.14	$80.84	$105.14
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 $124.79 / $124.79 / $124.79	Facility		$124.79	$124.79	$124.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $114.29	Facility		$85.85	$85.85	$114.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $114.29 / $114.29	Professional		$85.85	$114.29	$114.29
United Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $59.90 / $99.84	Professional		$46.90	$59.90	$99.84