Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $229.09	Facility		$52.48	$141.25	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $134.90	Professional		$26.92	$46.77	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $57.54	Professional		$41.69	$43.65	$57.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $223.87	Facility		$112.20	$208.93	$223.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $95.50	Professional		$53.70	$54.95	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Facility		$56.23	$56.23	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $64.57	Professional		$16.22	$28.18	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $95.50	Professional		$38.90	$72.44	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $97.72	Professional		$38.02	$57.54	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $64.57	Professional		$34.67	$38.02	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $229.09	Facility		$52.48	$141.25	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $141.25	Professional		$28.18	$50.12	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $109.65	Professional		$77.62	$100.00	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $53.70 / $91.20	Professional		$1.78	$53.70	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $70.79	Professional		$22.91	$38.90	$70.79