Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $79.43	Professional		$30.90	$64.57	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $165.96	Professional		$85.11	$112.20	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $77.62	Professional		$45.71	$58.88	$77.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $56.23	Professional		$51.29	$56.23	$56.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $83.18	Professional		$30.90	$61.66	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $53.70 / $114.82	Professional		$17.38	$53.70	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $61.66	Professional		$32.36	$37.15	$61.66