Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $114.82 / $169.82	Facility	26	$51.29	$114.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $269.15	Professional		$87.10	$112.20	$269.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $194.98	Professional		$169.82	$194.98	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $288.40	Professional		$89.13	$162.18	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $190.55	Professional		$117.49	$151.36	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $309.03	Professional		$114.82	$173.78	$309.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $114.82 / $158.49	Facility	26	$51.29	$114.82	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $316.23	Professional		$95.50	$134.90	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $147.91 / $309.03	Professional		$47.86	$147.91	$309.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $48.98 / $48.98	Facility	26	$43.65	$48.98	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $109.65 / $309.03	Professional		$18.62	$109.65	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $234.42	Professional		$97.72	$134.90	$234.42