Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $218.78	Professional		$47.86	$67.61	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $123.03	Professional		$74.13	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $109.65	Professional		$31.62	$60.26	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $144.54	Professional		$61.66	$112.20	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $151.36	Professional		$45.71	$89.13	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $257.04	Professional		$51.29	$75.86	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $177.83	Professional		$123.03	$144.54	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $61.66 / $85.11	Professional		$22.39	$61.66	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $104.71	Professional		$38.02	$64.57	$104.71