Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $524.81	Facility		$41.69	$131.83	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $93.33	Professional		$19.95	$41.69	$93.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	25	$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $32.36	Professional		$18.20	$22.91	$32.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $60.26	Professional		$29.51	$38.02	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $54.95	Facility		$30.20	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $60.26	Professional		$19.95	$33.11	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $48.98	Professional		$30.20	$40.74	$48.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Facility		$104.71	$104.71	$109.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $66.07	Professional		$23.44	$33.11	$66.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.20 / $56.23	Facility		$28.18	$30.20	$56.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $36.31	Professional		$21.88	$23.44	$36.31
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $501.19	Facility		$37.15	$54.95	$501.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $77.62	Professional		$20.89	$41.69	$77.62
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	25	$95.50	$95.50	$95.50
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $46.77	Professional		$28.18	$39.81	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $602.56	Facility		$154.88	$380.19	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $52.48	Professional		$35.48	$39.81	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $57.54	Professional		$16.60	$28.84	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $338.84	Facility		$181.97	$275.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $52.48	Professional		$22.91	$34.67	$52.48