Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $1,096.48	Facility		$316.23	$512.86	$1,096.48
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $331.13	Facility		$288.40	$331.13	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $467.74	Facility		$380.19	$467.74	$467.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,096.48	Facility		$323.59	$512.86	$1,096.48
Optum Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $707.95	Facility		$269.15	$501.19	$707.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $707.95	Facility		$269.15	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $707.95	Facility		$269.15	$501.19	$707.95