Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $125.89	Professional		$79.43	$97.72	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $154.88	Professional		$15.49	$16.22	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $186.21	Professional		$83.18	$97.72	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $162.18	Professional		$97.72	$123.03	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $125.89	Professional		$85.11	$97.72	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $64.57 / $125.89	Facility		$7.76	$64.57	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $162.18	Professional		$63.10	$93.33	$162.18