Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $338.84	Professional		$107.15	$158.49	$338.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $323.59	Professional		$117.49	$181.97	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $323.59	Professional		$229.09	$295.12	$323.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $316.23	Professional		$120.23	$213.80	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $426.58	Professional		$109.65	$181.97	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $398.11	Professional		$158.49	$275.42	$398.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $309.03	Professional		$117.49	$199.53	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $275.42	Professional		$112.20	$162.18	$275.42