Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $208.93	Facility		$125.89	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $39.81 / $83.18	Professional		$7.94	$39.81	$83.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $112.20	Facility		$57.54	$104.71	$112.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Facility		$81.28	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.79 / $57.54	Professional		$7.24	$14.79	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $81.28	Professional		$35.48	$66.07	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $89.13	Professional		$12.59	$32.36	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $208.93	Facility		$125.89	$208.93	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $40.74 / $97.72	Professional		$10.00	$40.74	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $75.86	Professional		$15.49	$16.22	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $47.86 / $70.79	Professional		$16.60	$47.86	$70.79