Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $81.28	Professional		$32.36	$70.79	$81.28
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $218.78	Professional		$109.65	$144.54	$218.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $95.50	Professional		$56.23	$72.44	$95.50
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 $30.90 / $67.61 / $81.28	Professional		$30.90	$67.61	$81.28
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 $53.70 / $66.07 / $93.33	Professional		$53.70	$66.07	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $67.61	Professional		$30.90	$46.77	$67.61