Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $51.29	Professional		$28.18	$33.88	$51.29
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $64.57	Professional		$54.95	$56.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $66.07	Professional		$20.42	$36.31	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $83.18	Professional		$48.98	$56.23	$83.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $38.90 / $66.07	Professional		$15.14	$38.90	$66.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $53.70	Professional		$25.70	$34.67	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $63.10	Professional		$16.98	$16.98	$63.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $17.78 / $112.20	Professional		$2.82	$17.78	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $54.95	Professional		$19.95	$33.11	$54.95