Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $512.86	Professional		$131.83	$218.78	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $407.38	Professional		$194.98	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $416.87	Professional		$144.54	$234.42	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $147.91 / $398.11	Professional		$9.55	$147.91	$398.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $398.11	Professional		$144.54	$275.42	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $645.65	Professional		$134.90	$239.88	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $416.87 / $512.86	Professional		$147.91	$416.87	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $309.03	Professional		$107.15	$223.87	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $354.81	Professional		$123.03	$204.17	$354.81