Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $104.80 / $151.61	Professional		$56.25	$104.80	$151.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $141.16 / $141.16	Professional		$141.16	$141.16	$141.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.56 / $220.56 / $220.56	Facility		$220.56	$220.56	$220.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $231.17 / $370.48	Professional		$187.80	$231.17	$370.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $110.01 / $156.81	Professional		$56.25	$110.01	$156.81
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 $220.56 / $220.56 / $220.56	Facility		$220.56	$220.56	$220.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $100.92 / $134.36	Facility		$100.92	$100.92	$134.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $134.36 / $162.50	Professional		$100.92	$134.36	$162.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $70.42 / $117.37	Professional		$63.65	$70.42	$117.37