Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $84.61 / $109.91	Professional		$42.95	$84.61	$109.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $125.52 / $125.52	Professional		$125.52	$125.52	$125.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $145.97 / $145.97	Facility		$145.97	$145.97	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $148.29 / $237.66	Professional		$120.47	$148.29	$237.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $87.60 / $109.91	Professional		$43.01	$87.60	$109.91
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 $145.97 / $145.97 / $145.97	Facility		$145.97	$145.97	$145.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $119.47	Facility		$89.75	$89.75	$119.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $119.47 / $119.47	Professional		$89.75	$119.47	$119.47
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $62.62 / $104.37	Professional		$49.03	$62.62	$104.37