Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $389.05	Professional		$154.88	$269.15	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $102.33	Professional		$52.48	$75.86	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $181.97	Facility		$81.28	$87.10	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $173.78	Professional		$54.95	$85.11	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $87.10	Facility		$27.54	$27.54	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $67.61 / $107.15	Professional		$27.54	$67.61	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $53.70 / $93.33	Professional		$22.39	$53.70	$93.33