Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $70.79	Professional		$26.92	$53.70	$70.79
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $181.97	Professional		$91.20	$120.23	$181.97
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $81.28	Professional		$48.98	$63.10	$81.28
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 $25.70 / $53.70 / $70.79	Professional		$25.70	$53.70	$70.79
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 $28.84 / $57.54 / $77.62	Professional		$28.84	$57.54	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $60.26	Professional		$26.92	$39.81	$60.26