Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $213.80	Professional		$112.20	$151.36	$213.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $302.00	Professional		$141.25	$169.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $363.08	Professional		$173.78	$239.88	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $354.81	Professional		$128.82	$173.78	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $331.13	Professional		$117.49	$158.49	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $323.59	Professional		$190.55	$194.98	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $346.74	Professional		$114.82	$158.49	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $588.84	Facility		$316.23	$478.63	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $295.12	Professional		$112.20	$165.96	$295.12