Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $199.53	Professional		$83.18	$162.18	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $562.34	Professional		$288.40	$380.19	$562.34
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $234.42	Professional		$138.04	$177.83	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $199.53	Professional		$83.18	$158.49	$199.53
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 $158.49 / $162.18 / $338.84	Professional		$158.49	$162.18	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $177.83	Professional		$89.13	$114.82	$177.83