Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Facility		$52.48	$52.48	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $91.20	Professional		$50.12	$66.07	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $263.03	Professional		$154.88	$199.53	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $208.93	Professional		$120.23	$151.36	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Facility		$52.48	$52.48	$57.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $95.50	Professional		$48.98	$66.07	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $134.90	Professional		$91.20	$125.89	$134.90