Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $194.98	Professional		$120.23	$154.88	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $302.00	Professional		$117.49	$147.91	$302.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $316.23	Professional		$162.18	$190.55	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $380.19	Professional		$138.04	$173.78	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $323.59	Professional		$144.54	$281.84	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $281.84	Professional		$131.83	$165.96	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $467.74	Professional		$91.20	$181.97	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $302.00	Professional		$147.91	$190.55	$302.00