Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,548.13	Facility		$1,258.93	$2,290.87	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,445.44	Professional		$1,174.90	$1,258.93	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Professional		$1,288.25	$1,288.25	$1,445.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,548.13	Facility		$1,258.93	$1,949.84	$3,548.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,905.46	Professional		$1,174.90	$1,258.93	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $512.86 / $1,202.26	Facility		$12.88	$512.86	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25