Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $389.05	Facility		$100.00	$281.84	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $288.40	Professional		$66.07	$95.50	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $114.82 / $151.36	Professional		$33.88	$114.82	$151.36
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 $95.50 / $125.89 / $165.96	Professional		$95.50	$125.89	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Facility		$131.83	$131.83	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $123.03	Professional		$38.90	$53.70	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $173.78	Professional		$70.79	$131.83	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $199.53	Facility		$186.21	$186.21	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.13 / $389.05	Facility		$100.00	$331.13	$389.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $302.00	Professional		$66.07	$104.71	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $181.97	Professional		$138.04	$165.96	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $85.11 / $309.03	Professional		$28.84	$85.11	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $141.25	Professional		$46.77	$87.10	$141.25