Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Facility		$89.13	$89.13	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $218.78	Professional		$54.95	$66.07	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $107.15	Professional		$48.98	$56.23	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $114.82	Professional		$70.79	$74.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $123.03	Professional		$46.77	$70.79	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Professional		$72.44	$104.71	$158.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $144.54	Professional		$56.23	$74.13	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $91.20	Professional		$50.12	$61.66	$91.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Facility		$89.13	$89.13	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $177.83	Professional		$56.23	$75.86	$177.83
Optum Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $75.86	Professional		$51.29	$58.88	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $81.28	Professional		$48.98	$57.54	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $67.61 / $74.13	Professional		$22.39	$67.61	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $588.84	Facility		$316.23	$478.63	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $120.23	Professional		$51.29	$67.61	$120.23