Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $588.84 / $588.84	Facility		$93.33	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $446.68	Professional		$93.33	$199.53	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $218.78	Professional		$100.00	$114.82	$218.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Professional		$107.15	$125.89	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $245.47	Professional		$109.65	$141.25	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $338.84	Professional		$102.33	$158.49	$338.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $208.93	Professional		$104.71	$125.89	$208.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $257.04	Professional		$151.36	$169.82	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $588.84	Facility		$93.33	$93.33	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $363.08	Professional		$93.33	$165.96	$363.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $234.42	Facility		$134.90	$162.18	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $245.47	Professional		$134.90	$190.55	$245.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $407.38	Professional		$75.86	$117.49	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $204.17	Professional		$102.33	$134.90	$204.17