Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $257.04	Professional		$52.48	$97.72	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $104.71	Professional		$67.61	$70.79	$104.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $141.25	Professional		$87.10	$91.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $162.18	Professional		$63.10	$93.33	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $162.18	Professional		$117.49	$125.89	$162.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $186.21	Professional		$74.13	$112.20	$186.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $162.18	Professional		$107.15	$138.04	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $245.47	Professional		$54.95	$104.71	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $177.83	Professional		$117.49	$144.54	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $89.13	Professional		$72.44	$72.44	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $147.91	Professional		$64.57	$93.33	$147.91