Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $208.93	Professional		$85.11	$162.18	$208.93
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 $281.84 / $371.54 / $562.34	Professional		$281.84	$371.54	$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 $141.25 / $181.97 / $234.42	Professional		$141.25	$181.97	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $208.93	Professional		$77.62	$158.49	$208.93
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 $162.18 / $223.87 / $407.38	Professional		$162.18	$223.87	$407.38
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 $85.11 / $114.82 / $181.97	Professional		$85.11	$114.82	$181.97