Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $181.97 / $346.74	Facility	26	$93.33	$181.97	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $933.25	Professional		$229.09	$331.13	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $316.23	Professional	26	$77.62	$120.23	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $89.13 / $138.04	Professional	26	$79.43	$89.13	$138.04
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $208.93	Professional	26	$85.11	$109.65	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $812.83	Professional		$269.15	$467.74	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $177.83	Professional	26	$64.57	$104.71	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $446.68	Professional		$275.42	$354.81	$446.68
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 $269.15 / $380.19 / $724.44	Professional		$269.15	$380.19	$724.44
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $181.97	Professional	26	$72.44	$100.00	$181.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $398.11	Professional		$131.83	$131.83	$398.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $102.33 / $128.82	Professional	26	$93.33	$102.33	$128.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $169.82 / $316.23	Facility	26	$93.33	$169.82	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $851.14	Professional		$251.19	$389.05	$851.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $120.23 / $245.47	Professional	26	$79.43	$120.23	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $630.96	Professional		$181.97	$323.59	$630.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $346.74	Professional		$199.53	$275.42	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $630.96	Professional		$281.84	$389.05	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $93.33 / $151.36	Professional	26	$72.44	$93.33	$151.36