Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Facility		$74.13	$74.13	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $123.03	Professional		$70.79	$91.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
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 / $208.93	Professional		$120.23	$158.49	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Facility		$74.13	$74.13	$81.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $128.82	Professional		$69.18	$91.20	$128.82
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 $107.15 / $125.89 / $141.25	Professional		$107.15	$125.89	$141.25