Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $56.23 / $91.20	Professional		$16.98	$56.23	$91.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $128.82	Professional		$77.62	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $54.95 / $109.65	Professional		$18.62	$54.95	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Professional		$97.72	$97.72	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $74.13 / $128.82	Professional		$25.12	$74.13	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $56.23 / $91.20	Professional		$16.98	$56.23	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Professional		$54.95	$54.95	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $47.86 / $81.28	Professional		$11.75	$47.86	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $42.66 / $91.20	Professional		$17.38	$42.66	$91.20