Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $380.19	Professional		$117.49	$141.25	$380.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $134.90	Professional		$114.82	$131.83	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $316.23	Professional		$125.89	$173.78	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $190.55	Professional		$134.90	$173.78	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $245.47	Professional		$123.03	$165.96	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $707.95	Professional		$123.03	$165.96	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $281.84	Professional		$169.82	$204.17	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $169.82 / $416.87	Professional		$66.07	$169.82	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $257.04	Professional		$109.65	$144.54	$257.04