Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $91.20	Professional		$42.66	$56.23	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $51.29	Professional		$28.18	$34.67	$51.29
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $81.28	Professional		$37.15	$43.65	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $117.49	Professional		$42.66	$64.57	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $104.71	Professional		$54.95	$72.44	$104.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $75.86	Professional		$38.02	$54.95	$75.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Professional		$45.71	$45.71	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $109.65	Professional		$44.67	$58.88	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $151.36	Professional		$79.43	$100.00	$151.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $112.20	Professional		$28.18	$47.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $95.50	Professional		$45.71	$58.88	$95.50