Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $302.00	Professional		$47.86	$100.00	$302.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $177.83	Professional		$100.00	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $177.83	Professional		$52.48	$91.20	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $208.93	Professional		$123.03	$165.96	$208.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $169.82	Professional		$67.61	$117.49	$169.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $295.12	Professional		$51.29	$109.65	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $281.84	Professional		$81.28	$147.91	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $102.33	Professional		$33.88	$63.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $154.88	Professional		$50.12	$85.11	$154.88