Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $251.19 / $269.15	Facility		$91.20	$251.19	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $245.47	Professional		$47.86	$89.13	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Professional		$85.11	$100.00	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $524.81	Facility		$269.15	$489.78	$524.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $194.98	Professional		$60.26	$81.28	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Facility		$97.72	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $117.49	Professional		$30.90	$58.88	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $107.15	Professional		$43.65	$83.18	$107.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $169.82	Professional		$66.07	$87.10	$169.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $102.33	Professional		$61.66	$72.44	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $269.15	Facility		$85.11	$251.19	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $251.19	Professional		$47.86	$81.28	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $169.82	Professional		$87.10	$109.65	$169.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $114.82	Professional		$29.51	$60.26	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $104.71	Professional		$37.15	$64.57	$104.71