Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $162.18	Professional		$39.81	$75.86	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $120.23	Professional		$52.48	$52.48	$120.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $138.04	Professional		$77.62	$81.28	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $147.91	Professional		$44.67	$81.28	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Professional		$85.11	$114.82	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $147.91	Professional		$58.88	$85.11	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $162.18	Professional		$40.74	$77.62	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $169.82	Professional		$123.03	$144.54	$169.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $288.40	Professional		$29.51	$75.86	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $40.74	Facility		$37.15	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $125.89	Professional		$39.81	$74.13	$125.89