Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $87.64 / $105.59	Professional		$41.21	$87.64	$105.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $120.27 / $120.27	Professional		$120.27	$120.27	$120.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $152.94 / $152.94	Facility		$152.94	$152.94	$152.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $145.34 / $232.93	Professional		$118.07	$145.34	$232.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $89.57 / $108.73	Professional		$41.21	$89.57	$108.73
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 $152.94 / $152.94 / $152.94	Facility		$152.94	$152.94	$152.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $85.99 / $114.47	Facility		$85.99	$85.99	$114.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $114.47 / $120.05	Professional		$85.99	$114.47	$120.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $60.00 / $100.00	Professional		$53.35	$60.00	$100.00