Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $107.15	Facility		$74.13	$87.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $707.95	Professional		$72.44	$97.72	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $173.78	Professional		$95.50	$100.00	$173.78
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 $72.44 / $102.33 / $151.36	Professional		$72.44	$102.33	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $208.93	Professional		$97.72	$138.04	$208.93
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $199.53	Professional		$74.13	$104.71	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $128.82	Professional		$95.50	$107.15	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $128.82	Facility		$74.13	$95.50	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $295.12	Professional		$74.13	$104.71	$295.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $128.82	Professional		$85.11	$109.65	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $141.25	Professional		$89.13	$107.15	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $120.23	Professional		$60.26	$77.62	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $173.78	Professional		$72.44	$102.33	$173.78