Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $346.74	Professional		$60.26	$102.33	$346.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	52	$57.54	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $107.15	Professional		$63.10	$69.18	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $141.25	Professional		$69.18	$81.28	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $165.96	Professional		$69.18	$104.71	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $154.88	Professional		$87.10	$112.20	$154.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $181.97	Professional		$72.44	$104.71	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $93.33	Professional		$85.11	$87.10	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $316.23	Professional		$64.57	$109.65	$316.23
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	52	$57.54	$57.54	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $190.55	Professional		$114.82	$144.54	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $204.17	Professional		$54.95	$70.79	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $147.91	Professional		$64.57	$93.33	$147.91