Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $30.70 / $73.50	Facility	26	$22.97	$30.70	$73.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $133.41 / $273.79	Professional		$104.34	$133.41	$273.79
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $133.25 / $198.53	Professional		$115.34	$133.25	$198.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $104.38 / $209.16	Professional		$60.87	$104.38	$209.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $172.99 / $208.46	Professional		$78.23	$172.99	$208.46
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $34.44 / $75.11	Facility	26	$22.97	$34.44	$75.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $151.43 / $282.00	Professional		$114.41	$151.43	$282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $104.20 / $243.40	Professional		$34.19	$104.20	$243.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.98 / $27.06 / $27.06	Facility	26	$11.98	$27.06	$27.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $105.08 / $208.43	Professional		$63.89	$105.08	$208.43
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $23.59 / $23.59	Facility	26	$19.50	$23.59	$23.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $131.38 / $143.10	Professional		$69.50	$131.38	$143.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $132.09 / $246.16	Professional		$63.38	$132.09	$246.16