Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $501.19	Professional		$87.10	$114.82	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $316.23	Professional		$158.49	$208.93	$316.23
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $144.54	Professional		$87.10	$144.54	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $501.19	Professional		$85.11	$114.82	$501.19
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 $117.49 / $158.49 / $478.63	Professional		$117.49	$158.49	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $117.49	Professional		$54.95	$70.79	$117.49