Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $346.74 / $346.74	Facility		$97.72	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $489.78	Professional		$97.72	$204.17	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Professional		$112.20	$112.20	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Professional		$112.20	$131.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $257.04	Professional		$112.20	$147.91	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $354.81	Professional		$107.15	$165.96	$354.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $218.78	Professional		$107.15	$131.83	$218.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $269.15	Professional		$147.91	$177.83	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $346.74	Facility		$97.72	$97.72	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $416.87	Professional		$97.72	$173.78	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $245.47	Facility		$147.91	$173.78	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $263.03	Professional		$147.91	$194.98	$263.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $346.74	Professional		$75.86	$120.23	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $213.80	Professional		$107.15	$141.25	$213.80