Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $776.25	Facility		$109.65	$275.42	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $234.42	Professional		$91.20	$114.82	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $158.49	Professional		$91.20	$112.20	$158.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $208.93	Professional		$120.23	$125.89	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $186.21	Professional		$87.10	$120.23	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $263.03	Professional		$125.89	$177.83	$263.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Facility		$109.65	$109.65	$117.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $239.88	Professional		$95.50	$128.82	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $147.91	Professional		$120.23	$131.83	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $776.25	Facility		$109.65	$275.42	$776.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $245.47	Professional		$93.33	$123.03	$245.47
Optum Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $151.36	Professional		$97.72	$123.03	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $165.96	Professional		$91.20	$120.23	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $346.74	Professional		$47.86	$123.03	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $724.44	Facility		$389.05	$575.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $218.78	Professional		$95.50	$125.89	$218.78