Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $831.76	Facility		$281.84	$478.63	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $524.81	Professional		$64.57	$100.00	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,148.15	Facility		$588.84	$1,071.52	$1,148.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Facility		$194.98	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $263.03	Professional		$69.18	$125.89	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $223.87	Professional		$81.28	$151.36	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $295.12	Professional		$123.03	$173.78	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $602.56	Facility		$295.12	$426.58	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $478.63 / $831.76	Facility		$177.83	$478.63	$831.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $478.63	Professional		$85.11	$109.65	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $165.96	Professional		$85.11	$85.11	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $97.72 / $117.49	Professional		$26.92	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $194.98	Professional		$64.57	$117.49	$194.98