Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $57.54	Professional		$22.91	$46.77	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $154.88	Professional		$77.62	$102.33	$154.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $69.18	Professional		$41.69	$53.70	$69.18
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $58.88	Professional		$21.88	$45.71	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $173.78	Professional		$46.77	$47.86	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $52.48	Professional		$22.91	$33.88	$52.48