Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $67.61	Professional		$25.70	$50.12	$67.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $173.78	Professional		$87.10	$114.82	$173.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $79.43	Professional		$47.86	$61.66	$79.43
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 $25.12 / $50.12 / $67.61	Professional		$25.12	$50.12	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $25.12	Professional		$0.60	$0.60	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $758.58	Professional		$22.91	$56.23	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $58.88	Professional		$26.30	$38.90	$58.88