Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $42.58 / $183.16	Professional		$33.32	$42.58	$183.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $48.29 / $48.29	Professional		$48.29	$48.29	$48.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $33.14 / $34.32	Professional		$32.99	$33.14	$34.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $41.53 / $106.22	Professional		$36.54	$41.53	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $116.41 / $201.68	Professional		$68.17	$116.41	$201.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $59.61 / $110.95	Professional		$40.94	$59.61	$110.95
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $34.22 / $34.32	Professional		$32.99	$34.22	$34.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $63.78 / $290.86	Professional		$33.32	$63.78	$290.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $87.90 / $110.50	Professional		$53.84	$87.90	$110.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $127.93 / $201.68	Professional		$49.37	$127.93	$201.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $33.81 / $37.22	Professional		$33.17	$33.81	$37.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $47.90 / $78.04	Professional		$31.82	$47.90	$78.04