Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $114.82	Professional		$45.71	$87.10	$114.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $245.47	Professional		$125.89	$165.96	$245.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $134.90	Professional		$81.28	$104.71	$134.90
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $114.82	Professional		$44.67	$87.10	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $50.12	Professional		$0.60	$0.60	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $467.74	Professional		$91.20	$112.20	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $102.33	Professional		$44.67	$66.07	$102.33