Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $93.64 / $302.39	Professional		$65.25	$93.64	$302.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.59 / $36.49 / $54.84	Professional	52	$32.59	$36.49	$54.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $74.05 / $122.18	Professional		$62.72	$74.05	$122.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $87.92 / $94.36	Professional		$69.98	$87.92	$94.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $85.47 / $177.29	Professional		$78.23	$85.47	$177.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $105.49 / $158.62	Professional		$68.47	$105.49	$158.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $111.91 / $288.52	Professional		$79.40	$111.91	$288.52
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $87.92 / $94.36	Professional		$64.45	$87.92	$94.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $102.12 / $300.81	Professional		$65.72	$102.12	$300.81
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $32.63 / $37.34 / $95.01	Professional	52	$32.63	$37.34	$95.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $145.00 / $186.20	Professional		$58.09	$145.00	$186.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $102.32 / $164.33	Professional		$68.47	$102.32	$164.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $72.67 / $123.99	Professional		$67.01	$72.67	$123.99
United Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $94.24 / $143.74	Professional		$67.44	$94.24	$143.74