Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $213.80	Professional		$75.86	$109.65	$213.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $213.80	Professional		$125.89	$131.83	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $213.80	Professional		$83.18	$125.89	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $288.40	Professional		$165.96	$229.09	$288.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $229.09	Professional		$104.71	$162.18	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $275.42	Professional		$79.43	$128.82	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $281.84	Professional		$134.90	$177.83	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $309.03	Professional		$61.66	$83.18	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $190.55	Professional		$79.43	$114.82	$190.55