Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $208.93 / $602.56	Facility		$56.23	$208.93	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $47.86	Professional		$16.98	$19.05	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $37.15	Professional		$19.05	$29.51	$37.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $79.43	Professional		$20.89	$30.90	$79.43
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $47.86	Professional		$17.38	$22.91	$47.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $24.55	Professional		$18.20	$19.50	$24.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $141.25 / $288.40	Facility		$32.36	$141.25	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $32.36	Professional		$18.20	$19.95	$32.36
Optum Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $19.95 / $34.67	Professional		$0.93	$19.95	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $338.84	Facility		$181.97	$275.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $91.20	Professional		$38.90	$52.48	$91.20