Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $97.72	Professional		$16.98	$57.54	$97.72
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
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 $19.05 / $57.54 / $112.20	Professional		$19.05	$57.54	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $117.49	Professional		$41.69	$81.28	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $97.72	Professional		$16.98	$57.54	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.92 / $83.18	Professional		$11.75	$26.92	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $43.65 / $95.50	Professional		$17.38	$43.65	$95.50