Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $245.47	Professional		$123.03	$186.21	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $245.47	Professional		$123.03	$177.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $4,570.88	Facility		$1,949.84	$3,715.35	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $389.05	Professional		$186.21	$229.09	$389.05