Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $177.83	Professional		$41.69	$67.61	$177.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $112.20	Professional		$66.07	$75.86	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $141.25	Professional		$51.29	$74.13	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $128.82	Professional		$89.13	$114.82	$128.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $123.03	Professional		$53.70	$85.11	$123.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $194.98	Professional		$43.65	$72.44	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $141.25	Professional		$81.28	$112.20	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $75.86 / $309.03	Professional		$16.98	$75.86	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $112.20	Professional		$48.98	$67.61	$112.20