Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $169.82	Facility		$29.51	$91.20	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $102.33	Professional		$23.99	$29.51	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $5,011.87	Facility		$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $79.43	Professional		$27.54	$27.54	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $120.23	Facility		$32.36	$57.54	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $79.43	Professional		$20.89	$33.88	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $66.07	Professional		$24.55	$45.71	$66.07
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $89.13	Professional		$37.15	$52.48	$89.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $194.98	Facility		$48.98	$74.13	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $165.96	Facility		$29.51	$91.20	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $128.82	Professional		$25.70	$35.48	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $47.86	Facility		$31.62	$44.67	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $50.12	Professional		$25.70	$44.67	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Facility		$35.48	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $63.10	Professional		$14.79	$20.89	$63.10