Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $134.90 / $138.04	Facility		$104.71	$134.90	$138.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	25	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $79.43 / $173.78	Professional		$40.74	$79.43	$173.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $91.20 / $223.87	Professional	25	$75.86	$91.20	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $87.10	Professional		$72.44	$77.62	$87.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $79.43 / $79.43 / $85.11	Professional	25	$79.43	$79.43	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $154.88	Professional		$77.62	$85.11	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $112.20	Professional		$40.74	$67.61	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $102.33	Professional		$39.81	$54.95	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $138.04	Professional		$63.10	$85.11	$138.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $85.11	Professional		$69.18	$77.62	$85.11
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $77.62 / $77.62	Professional	25	$70.79	$77.62	$77.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $134.90 / $138.04	Facility		$104.71	$134.90	$138.04
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	25	$138.04	$138.04	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $141.25	Professional		$40.74	$75.86	$141.25
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $89.13 / $138.04	Professional	25	$75.86	$89.13	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.20 / $87.10	Professional		$9.77	$30.20	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $100.00	Professional		$36.31	$58.88	$100.00