Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,778.28	Facility		$165.96	$165.96	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $416.87	Professional		$77.62	$93.33	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $107.15	Professional		$77.62	$85.11	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $144.54	Professional		$75.86	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $177.83	Professional		$70.79	$95.50	$177.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $151.36	Professional		$79.43	$107.15	$151.36
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $257.04	Facility		$104.71	$169.82	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $141.25	Professional		$72.44	$87.10	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $1,513.56	Facility		$416.87	$512.86	$1,513.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $114.82	Professional		$97.72	$104.71	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,778.28	Facility		$165.96	$165.96	$1,778.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $588.84	Professional		$77.62	$112.20	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $173.78	Facility		$100.00	$112.20	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $186.21	Professional		$100.00	$141.25	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $199.53	Facility		$83.18	$83.18	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $85.11 / $309.03	Professional		$12.88	$85.11	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,479.11	Facility		$1,122.02	$1,412.54	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $144.54	Professional		$64.57	$87.10	$144.54