Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $106.96 / $350.00	Professional		$38.01	$106.96	$350.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Professional		$265.33	$265.33	$265.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $230.89 / $312.56	Professional		$222.49	$230.89	$312.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $251.87 / $458.45	Professional		$69.43	$251.87	$458.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $363.50 / $668.97	Professional		$250.15	$363.50	$668.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $106.96 / $350.00	Professional		$38.01	$106.96	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $74.20 / $419.80	Professional		$64.50	$74.20	$419.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $251.87 / $482.80	Professional		$77.09	$251.87	$482.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $216.25 / $238.05	Professional		$103.85	$216.25	$238.05
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $48.79 / $106.82	Professional		$38.97	$48.79	$106.82