Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.77 / $141.49 / $403.20	Facility	26	$106.77	$141.49	$403.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $425.00 / $522.50	Professional		$275.99	$425.00	$522.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $161.31	Professional		$100.82	$100.82	$161.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $272.36 / $709.24	Professional		$262.45	$272.36	$709.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $522.79 / $985.54	Professional		$260.64	$522.79	$985.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.06 / $420.82 / $1,460.65	Professional		$317.06	$420.82	$1,460.65
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $106.77 / $165.06 / $412.02	Facility	26	$106.77	$165.06	$412.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $278.80 / $425.00 / $1,320.50	Professional		$278.80	$425.00	$1,320.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $314.16 / $700.00	Professional		$87.35	$314.16	$700.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.01 / $87.60 / $87.60	Facility	26	$53.01	$87.60	$87.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $511.81 / $927.60	Professional		$260.64	$511.81	$927.60
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $76.01 / $76.01 / $89.00	Facility	26	$76.01	$76.01	$89.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $265.25 / $269.48 / $589.00	Professional		$265.25	$269.48	$589.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $420.53 / $693.11	Professional		$268.79	$420.53	$693.11