Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $128.82	Professional		$61.66	$100.00	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $229.09	Professional		$138.04	$177.83	$229.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $128.82	Professional		$77.62	$97.72	$128.82
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 $48.98 / $97.72 / $128.82	Professional		$48.98	$97.72	$128.82
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 $87.10 / $89.13 / $158.49	Professional		$87.10	$89.13	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $97.72	Professional		$44.67	$63.10	$97.72