Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $58.88 / $91.20	Professional		$15.85	$58.88	$91.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $70.79	Professional		$35.48	$41.69	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $89.13	Professional		$23.99	$40.74	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $85.11	Professional		$42.66	$57.54	$85.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $77.62	Professional		$28.84	$40.74	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $50.12 / $91.20	Professional		$15.85	$50.12	$91.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $97.72	Professional		$37.15	$60.26	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $97.72	Professional		$41.69	$66.07	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $36.31 / $44.67	Professional		$11.48	$36.31	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $81.28	Professional		$18.20	$39.81	$81.28