Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $66.07	Professional		$25.70	$48.98	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $151.36	Professional		$75.86	$100.00	$151.36
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 $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $69.18	Professional		$25.12	$48.98	$69.18
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 $54.95 / $63.10 / $309.03	Professional		$54.95	$63.10	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $61.66	Professional		$26.30	$39.81	$61.66