Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $257.04 / $501.19	Facility	26	$125.89	$257.04	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,778.28	Professional		$281.84	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $144.54 / $426.58	Professional	26	$85.11	$144.54	$426.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $602.56	Professional		$269.15	$275.42	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $87.10 / $165.96	Professional	26	$85.11	$87.10	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $891.25	Professional		$257.04	$512.86	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $186.21	Professional	26	$63.10	$109.65	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $457.09	Professional		$288.40	$371.54	$457.09
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $134.90	Professional	26	$83.18	$109.65	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $794.33	Professional		$281.84	$436.52	$794.33
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $190.55	Professional	26	$77.62	$104.71	$190.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $616.60	Professional		$363.08	$363.08	$616.60
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $851.14	Professional	26	$93.33	$114.82	$851.14
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $234.42 / $467.74	Facility	26	$123.03	$234.42	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,047.13	Professional		$288.40	$489.78	$1,047.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $281.84	Professional	26	$85.11	$141.25	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $478.63 / $707.95	Professional		$138.04	$478.63	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $104.71 / $104.71	Facility	26	$83.18	$104.71	$104.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $478.63	Professional		$181.97	$380.19	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $85.11 / $104.71	Professional	26	$83.18	$85.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $707.95	Professional		$269.15	$398.11	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $162.18	Professional	26	$74.13	$93.33	$162.18