Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $389.05	Professional		$131.83	$169.82	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $151.36	Professional		$67.61	$147.91	$151.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $269.15	Professional		$114.82	$134.90	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $416.87 / $724.44	Professional		$134.90	$416.87	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $281.84	Professional		$165.96	$218.78	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $371.54	Professional		$131.83	$208.93	$371.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $467.74	Professional		$138.04	$181.97	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $416.87	Professional		$123.03	$269.15	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $134.90 / $204.17	Professional		$40.74	$134.90	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $338.84	Professional		$134.90	$204.17	$338.84