Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $186.21	Professional		$89.13	$112.20	$186.21
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $169.82	Professional		$83.18	$97.72	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $229.09	Professional		$91.20	$128.82	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $218.78	Professional		$112.20	$154.88	$218.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $218.78	Professional		$102.33	$131.83	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $295.12	Professional		$89.13	$125.89	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $190.55 / $257.04	Professional		$60.26	$190.55	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $74.13 / $147.91	Professional		$1.45	$74.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $177.83	Professional		$81.28	$107.15	$177.83