Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $575.44	Professional		$165.96	$208.93	$575.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $331.13	Professional		$162.18	$245.47	$331.13
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $354.81 / $501.19	Professional	50	$239.88	$354.81	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $371.54	Professional		$181.97	$245.47	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $281.84	Professional		$199.53	$257.04	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $354.81	Professional		$173.78	$239.88	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $776.25	Professional		$186.21	$239.88	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $436.52	Professional		$162.18	$316.23	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $316.23	Professional		$53.70	$112.20	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $371.54	Professional		$154.88	$208.93	$371.54