Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $316.23 / $630.96	Facility		$93.33	$316.23	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $269.15	Professional		$77.62	$107.15	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $109.65	Professional		$69.18	$81.28	$109.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $223.87	Professional		$107.15	$147.91	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $177.83 / $177.83	Facility		$30.20	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $169.82	Professional		$69.18	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $173.78	Professional		$107.15	$144.54	$173.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $223.87	Professional		$85.11	$117.49	$223.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $117.49	Professional		$79.43	$85.11	$117.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $131.83	Professional		$97.72	$102.33	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $630.96	Facility		$102.33	$245.47	$630.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $234.42	Professional		$77.62	$112.20	$234.42
Optum Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $138.04	Professional		$69.18	$100.00	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $154.88	Professional		$70.79	$104.71	$154.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $117.49	Professional		$45.71	$95.50	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $588.84	Facility		$316.23	$478.63	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55