Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.00 / $100.97 / $100.97	Facility	26	$82.00	$100.97	$100.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $399.94 / $562.74	Professional		$241.23	$399.94	$562.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $334.73 / $393.80 / $393.80	Professional		$334.73	$393.80	$393.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $408.53 / $790.71	Professional		$238.14	$408.53	$790.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.88 / $606.42 / $784.76	Professional		$417.88	$606.42	$784.76
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $100.97 / $100.97 / $100.97	Facility	26	$100.97	$100.97	$100.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $465.73 / $1,426.00	Professional		$263.38	$465.73	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $190.00 / $966.60	Professional		$133.60	$190.00	$966.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.58 / $104.54 / $104.54	Facility	26	$80.58	$104.54	$104.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $426.48 / $790.71	Professional		$251.52	$426.48	$790.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $82.76 / $89.97 / $89.97	Facility	26	$82.76	$89.97	$89.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $417.80 / $455.68	Professional		$411.68	$417.80	$455.68
United Facility/Professional Professional Modifier Low / Median / High Price $239.18 / $400.03 / $718.00	Professional		$239.18	$400.03	$718.00