Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Facility		$66.07	$66.07	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $251.19	Professional		$61.66	$83.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Professional		$794.33	$794.33	$1,096.48
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 / $158.49 / $218.78	Professional		$120.23	$158.49	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Facility		$66.07	$66.07	$72.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $138.04	Professional		$61.66	$81.28	$138.04
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 $125.89 / $1,230.27 / $1,445.44	Professional		$125.89	$1,230.27	$1,445.44