Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $85.81 / $105.94	Professional		$41.46	$85.81	$105.94
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $120.99 / $120.99	Professional		$120.99	$120.99	$120.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $140.02 / $140.02	Facility		$140.02	$140.02	$140.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $146.26 / $234.40	Professional		$118.82	$146.26	$234.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $88.03 / $105.94	Professional		$41.46	$88.03	$105.94
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 $140.02 / $140.02 / $140.02	Facility		$140.02	$140.02	$140.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $115.16	Facility		$86.50	$86.50	$115.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $115.16 / $115.16	Professional		$86.50	$115.16	$115.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $60.36 / $100.60	Professional		$53.66	$60.36	$100.60