Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $851.14 / $2,691.53	Facility		$54.95	$851.14	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $562.34	Professional		$15.85	$28.84	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $295.12	Facility		$147.91	$275.42	$295.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $38.90	Professional		$21.38	$22.39	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $89.13	Facility		$37.15	$37.15	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $56.23	Professional		$14.79	$26.92	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $41.69	Professional		$17.78	$31.62	$41.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $63.10	Professional		$21.88	$30.90	$63.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $831.76 / $2,691.53	Facility		$33.88	$831.76	$2,691.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $177.83	Professional		$15.85	$32.36	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $107.15	Professional		$35.48	$44.67	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $14.45 / $25.12	Professional		$2.69	$14.45	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $38.90	Professional		$12.59	$22.39	$38.90