Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $323.59 / $338.84	Facility		$123.03	$323.59	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $323.59	Professional		$67.61	$102.33	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $117.49 / $154.88	Professional		$39.81	$117.49	$154.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $676.08	Facility		$338.84	$630.96	$676.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $257.04	Professional		$81.28	$109.65	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $169.82	Facility		$131.83	$131.83	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $151.36	Professional		$41.69	$75.86	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $147.91	Professional		$58.88	$112.20	$147.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $208.93	Professional		$89.13	$117.49	$208.93
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 $83.18 / $91.20 / $138.04	Professional		$83.18	$91.20	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $338.84	Facility		$117.49	$323.59	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $338.84	Professional		$67.61	$102.33	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $208.93	Professional		$117.49	$162.18	$208.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $676.08	Professional		$39.81	$83.18	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $141.25	Professional		$50.12	$87.10	$141.25