Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $93.66 / $126.49	Professional		$43.00	$93.66	$126.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Professional		$125.50	$125.50	$125.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $184.01 / $184.01	Facility		$184.01	$184.01	$184.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $164.71 / $263.98	Professional		$133.82	$164.71	$263.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $97.80 / $130.82	Professional		$43.00	$97.80	$130.82
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 $184.01 / $184.01 / $184.01	Facility		$184.01	$184.01	$184.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.73 / $89.73 / $119.45	Facility		$89.73	$89.73	$119.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $119.45 / $120.12	Professional		$89.73	$119.45	$120.12
United Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $62.61 / $104.35	Professional		$56.59	$62.61	$104.35