Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $87.36 / $116.62	Professional		$42.44	$87.36	$116.62
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $133.19 / $133.19	Professional		$133.19	$133.19	$133.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $160.58 / $160.58	Facility		$160.58	$160.58	$160.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $150.82 / $241.72	Professional		$122.53	$150.82	$241.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $87.47 / $116.62	Professional		$45.64	$87.47	$116.62
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 $160.58 / $160.58 / $160.58	Facility		$160.58	$160.58	$160.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.21 / $95.21 / $126.77	Facility		$95.21	$95.21	$126.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $126.77 / $126.77	Professional		$95.21	$126.77	$126.77
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $66.44 / $109.29	Professional		$51.28	$66.44	$109.29