Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $436.52	Professional		$74.13	$147.91	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $123.03	Professional		$97.72	$102.33	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $588.84	Professional		$316.23	$338.84	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $323.59	Professional		$165.96	$275.42	$323.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $363.08	Facility		$218.78	$363.08	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $363.08	Professional		$72.44	$218.78	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $575.44	Professional		$275.42	$371.54	$575.44