Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $79.83 / $79.83	Facility	26	$66.98	$79.83	$79.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $244.72 / $466.11	Professional		$204.12	$244.72	$466.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $208.74 / $297.98	Professional		$201.15	$208.74	$297.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $295.82 / $471.99	Professional		$214.41	$295.82	$471.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $287.50 / $323.05	Professional		$12.00	$287.50	$323.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $79.83 / $79.83 / $79.83	Facility	26	$79.83	$79.83	$79.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $328.63 / $681.00	Professional		$208.61	$328.63	$681.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $267.89 / $622.60	Professional		$3.00	$267.89	$622.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $296.58 / $506.37	Professional		$214.41	$296.58	$506.37
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.09 / $74.09 / $76.58	Facility	26	$74.09	$74.09	$76.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $220.15 / $264.49	Professional		$216.99	$220.15	$264.49
United Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $265.67 / $411.18	Professional		$204.94	$265.67	$411.18