Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $105.88 / $141.16	Professional		$53.27	$105.88	$141.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $161.22 / $161.22	Professional		$161.22	$161.22	$161.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $187.81 / $301.00	Professional		$152.58	$187.81	$301.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $107.26 / $143.30	Professional		$55.24	$107.26	$143.30
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 $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $153.44	Facility		$115.26	$115.26	$153.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $153.44 / $153.44	Professional		$115.26	$153.44	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $80.43 / $134.05	Professional		$64.36	$80.43	$134.05