Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $54.95	Professional		$21.88	$26.92	$54.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $66.07	Professional		$35.48	$41.69	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $69.18	Professional		$21.88	$36.31	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $61.66	Professional		$50.12	$57.54	$61.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $69.18	Professional		$36.31	$43.65	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $95.50	Professional		$22.91	$31.62	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $97.72	Professional		$38.90	$47.86	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $29.51 / $141.25	Professional		$7.76	$29.51	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $54.95	Professional		$29.51	$37.15	$54.95