Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $6,025.60	Facility		$151.36	$151.36	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $676.08	Professional		$151.36	$151.36	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $128.82	Professional		$114.82	$128.82	$128.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $5,011.87	Facility		$281.84	$331.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $338.84	Professional		$154.88	$288.40	$338.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $213.80	Professional		$123.03	$158.49	$213.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $6,025.60	Facility		$151.36	$151.36	$6,025.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $416.87	Professional		$151.36	$151.36	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $346.74	Professional		$0.60	$229.09	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $575.44	Facility		$154.88	$173.78	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $602.56	Professional		$154.88	$177.83	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $338.84	Professional		$125.89	$190.55	$338.84