Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $457.09	Professional		$107.15	$154.88	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $229.09	Professional		$123.03	$144.54	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $281.84	Professional		$125.89	$165.96	$281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $389.05	Professional		$117.49	$181.97	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $239.88	Professional		$120.23	$147.91	$239.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $295.12	Professional		$173.78	$190.55	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $426.58	Professional		$107.15	$177.83	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $269.15	Facility		$151.36	$173.78	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $288.40	Professional		$151.36	$213.80	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $309.03	Professional		$72.44	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $234.42	Professional		$117.49	$154.88	$234.42