Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $275.42	Facility		$75.86	$85.11	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $457.09	Professional		$67.61	$87.10	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $112.20	Professional		$72.44	$81.28	$112.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $154.88	Professional		$85.11	$89.13	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $138.04	Professional		$64.57	$91.20	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $186.21	Professional		$85.11	$123.03	$186.21
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Facility		$85.11	$85.11	$89.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $177.83	Professional		$66.07	$93.33	$177.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $102.33	Professional		$85.11	$93.33	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $186.21	Facility		$75.86	$87.10	$186.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $218.78	Professional		$70.79	$93.33	$218.78
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $112.20	Professional		$74.13	$91.20	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $123.03	Professional		$79.43	$91.20	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $831.76	Professional		$53.70	$87.10	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $165.96	Professional		$72.44	$93.33	$165.96