Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $60.26	Professional		$23.99	$43.65	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $147.91	Professional		$75.86	$100.00	$147.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $72.44	Professional		$43.65	$56.23	$72.44
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $60.26	Professional		$21.88	$43.65	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $34.67 / $39.81	Professional		$0.60	$34.67	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $245.47	Professional		$29.51	$51.29	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $51.29	Professional		$23.44	$35.48	$51.29