Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $53.45 / $73.41	Professional		$27.63	$53.45	$73.41
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $83.84 / $83.84	Professional		$83.84	$83.84	$83.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Facility		$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $113.52 / $181.93	Professional		$92.22	$113.52	$181.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $55.06 / $73.41	Professional		$28.35	$55.06	$73.41
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 $83.10 / $83.10 / $83.10	Facility		$83.10	$83.10	$83.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $59.94 / $79.80	Facility		$59.94	$59.94	$79.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $79.80 / $79.80	Professional		$59.94	$79.80	$79.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $41.83 / $69.70	Professional		$31.37	$41.83	$69.70