Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $61.66	Professional		$30.90	$44.67	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $53.70	Professional		$38.02	$45.71	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	25	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $93.33	Professional		$42.66	$54.95	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $44.67	Professional		$40.74	$40.74	$44.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $66.07	Professional		$33.11	$48.98	$66.07
Optum Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $43.65 / $61.66	Professional		$6.31	$43.65	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $87.10	Professional		$45.71	$57.54	$87.10