Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $41.69 / $194.98	Facility		$6.03	$41.69	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $295.12	Professional		$75.86	$125.89	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $100.00	Professional		$93.33	$97.72	$100.00
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 $102.33 / $186.21 / $275.42	Professional		$102.33	$186.21	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $194.98	Professional		$95.50	$131.83	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $194.98	Professional		$100.00	$147.91	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $239.88	Professional		$138.04	$165.96	$239.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.75 / $125.89	Facility		$6.03	$11.75	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $275.42	Professional		$79.43	$131.83	$275.42
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $141.25	Professional		$66.07	$128.82	$141.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $223.87	Facility		$128.82	$128.82	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $281.84	Professional		$109.65	$208.93	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $128.82	Facility		$42.66	$42.66	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $112.20	Professional		$27.54	$45.71	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $208.93	Professional		$93.33	$123.03	$208.93