Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,174.90 / $1,174.90	Facility		$309.03	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $1,513.56	Professional		$309.03	$660.69	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $524.81	Professional		$190.55	$389.05	$524.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $660.69	Professional		$316.23	$371.54	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $812.83	Professional		$363.08	$478.63	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,122.02	Professional		$338.84	$524.81	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $691.83	Professional		$346.74	$416.87	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $870.96	Professional		$489.78	$549.54	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,174.90	Facility		$309.03	$309.03	$1,174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,380.38	Professional		$309.03	$562.34	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $776.25	Facility		$436.52	$501.19	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $794.33	Professional		$436.52	$616.60	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $933.25	Professional		$371.54	$389.05	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $676.08	Professional		$338.84	$446.68	$676.08