Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $707.95	Professional		$114.82	$223.87	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $181.97	Professional		$100.00	$117.49	$181.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $239.88	Professional		$114.82	$134.90	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $309.03	Professional		$123.03	$177.83	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $275.42	Professional		$128.82	$162.18	$275.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $218.78	Professional		$151.36	$162.18	$218.78
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $426.58	Professional		$239.88	$275.42	$426.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $588.84	Professional		$120.23	$194.98	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $239.88 / $338.84	Professional		$74.13	$239.88	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $309.03	Professional		$70.79	$123.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $245.47	Professional		$114.82	$147.91	$245.47