Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $123.03	Professional		$56.23	$109.65	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $380.19	Professional		$194.98	$257.04	$380.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $141.25	Professional		$85.11	$109.65	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $123.03	Professional		$52.48	$107.15	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $165.96	Professional		$95.50	$100.00	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $114.82	Professional		$54.95	$69.18	$114.82