Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.24 / $181.97	Facility		$3.89	$7.24	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $181.97	Professional		$52.48	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $162.18	Professional		$74.13	$85.11	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $131.83	Professional		$66.07	$89.13	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $138.04	Professional		$70.79	$104.71	$138.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $162.18	Professional		$89.13	$117.49	$162.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.24 / $138.04	Facility		$3.89	$7.24	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $223.87	Professional		$54.95	$112.20	$223.87
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $91.20	Professional		$66.07	$83.18	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Facility		$95.50	$95.50	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $177.83	Professional		$81.28	$138.04	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $83.18	Facility		$60.26	$75.86	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $83.18	Professional		$23.99	$60.26	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $138.04	Professional		$63.10	$81.28	$138.04