Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $338.84	Professional		$112.20	$128.82	$338.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $229.09	Professional		$109.65	$128.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $245.47	Professional		$112.20	$151.36	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $234.42	Professional		$117.49	$147.91	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $338.84	Professional		$114.82	$144.54	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $316.23	Professional		$169.82	$239.88	$316.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $338.84	Professional		$70.79	$112.20	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $239.88	Professional		$102.33	$131.83	$239.88