Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $954.99	Facility		$245.47	$676.08	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $302.00	Professional		$173.78	$208.93	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $977.24	Facility		$302.00	$707.95	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $933.25	Professional		$234.42	$269.15	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $954.99	Facility		$245.47	$676.08	$954.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $363.08	Professional		$181.97	$218.78	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $1,230.27	Facility		$524.81	$933.25	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $616.60	Professional		$302.00	$380.19	$616.60