Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $354.81	Facility		$79.43	$181.97	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $257.04	Professional		$61.66	$79.43	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $5,011.87	Facility		$229.09	$302.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $457.09	Facility		$114.82	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $281.84	Professional		$79.43	$141.25	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $138.04	Professional		$117.49	$117.49	$138.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $186.21	Professional		$48.98	$112.20	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $354.81	Facility		$100.00	$186.21	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $263.03	Professional		$69.18	$89.13	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $95.50	Facility		$66.07	$66.07	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $95.50	Professional		$66.07	$66.07	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Facility		$95.50	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $112.20	Professional		$39.81	$56.23	$112.20