Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $275.42	Professional		$100.00	$123.03	$275.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $181.97	Professional		$93.33	$112.20	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $234.42	Professional		$91.20	$125.89	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $173.78	Professional		$91.20	$123.03	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $165.96	Professional		$89.13	$104.71	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $363.08	Professional		$104.71	$144.54	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $229.09	Professional		$151.36	$181.97	$229.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $549.54	Professional		$34.67	$81.28	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $190.55	Professional		$91.20	$117.49	$190.55