Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $106.32 / $153.82	Professional		$56.94	$106.32	$153.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $143.21 / $143.21	Professional		$143.21	$143.21	$143.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.76 / $223.76 / $223.76	Facility		$223.76	$223.76	$223.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $233.97 / $374.98	Professional		$190.08	$233.97	$374.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $111.61 / $159.09	Professional		$56.94	$111.61	$159.09
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 $223.76 / $223.76 / $223.76	Facility		$223.76	$223.76	$223.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $102.39 / $136.31	Facility		$102.39	$102.39	$136.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $136.31 / $164.47	Professional		$102.39	$136.31	$164.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $71.45 / $119.08	Professional		$64.58	$71.45	$119.08