Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $154.88	Professional		$83.18	$107.15	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $144.54	Professional		$100.00	$120.23	$144.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $144.54 / $158.49	Professional	25	$123.03	$144.54	$158.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $218.78	Professional		$112.20	$131.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $263.03	Professional		$100.00	$125.89	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $223.87	Professional		$97.72	$190.55	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $194.98	Professional		$91.20	$117.49	$194.98
Optum Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $125.89 / $125.89	Professional		$53.70	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $218.78	Professional		$104.71	$138.04	$218.78