Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $64.57	Professional		$22.91	$38.02	$64.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	25	$85.11	$85.11	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $70.79	Professional		$36.31	$51.29	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	25	$36.31	$36.31	$36.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $93.33	Professional		$54.95	$58.88	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $83.18	Professional		$33.88	$52.48	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $120.23	Professional		$58.88	$81.28	$120.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $104.71	Professional		$42.66	$56.23	$104.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $61.66	Professional		$52.48	$58.88	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $83.18	Professional		$23.99	$40.74	$83.18
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	25	$85.11	$85.11	$85.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $61.66	Professional		$33.11	$52.48	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $89.13	Professional		$37.15	$53.70	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $43.65	Professional		$12.88	$28.84	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $125.89	Facility		$67.61	$100.00	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $75.86	Professional		$30.20	$47.86	$75.86