Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $426.58	Professional		$128.82	$173.78	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $199.53	Professional		$141.25	$181.97	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $354.81	Professional		$223.87	$281.84	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $331.13	Professional		$141.25	$194.98	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $323.59	Professional		$229.09	$295.12	$323.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $316.23	Professional		$138.04	$223.87	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $457.09	Professional		$131.83	$194.98	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $398.11	Professional		$181.97	$288.40	$398.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $151.36 / $416.87	Professional		$53.70	$151.36	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $302.00	Professional		$134.90	$177.83	$302.00