Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.52 / $164.11 / $426.80	Facility	26	$130.52	$164.11	$426.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $300.00 / $422.02	Professional		$270.02	$300.00	$422.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $304.99 / $954.97	Professional		$293.89	$304.99	$954.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $578.57 / $1,003.89	Professional		$348.06	$578.57	$1,003.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $465.53 / $973.86	Professional		$351.67	$465.53	$973.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $130.52 / $219.60 / $426.80	Facility	26	$130.52	$219.60	$426.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $334.03 / $908.02	Professional		$270.02	$334.03	$908.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $543.60 / $1,121.50 / $1,309.20	Professional		$543.60	$1,121.50	$1,309.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $578.57 / $1,020.00	Professional		$386.68	$578.57	$1,020.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $115.00 / $117.17 / $117.17	Facility	26	$115.00	$117.17	$117.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $285.94 / $615.00	Professional		$281.68	$285.94	$615.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.62 / $546.07 / $953.40	Professional		$414.62	$546.07	$953.40