Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $35.48 / $60.26	Facility	26	$17.78	$35.48	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $380.19	Professional		$72.44	$112.20	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $154.88	Professional		$67.61	$123.03	$154.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $162.18	Professional		$87.10	$91.20	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $177.83	Professional		$64.57	$95.50	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $154.88	Professional		$95.50	$123.03	$154.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $186.21	Professional		$53.70	$95.50	$186.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $34.67 / $60.26	Facility	26	$16.98	$34.67	$60.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $229.09	Professional		$72.44	$112.20	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $93.33 / $173.78	Professional		$38.90	$93.33	$173.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $20.42 / $20.42	Facility	26	$17.78	$20.42	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $48.98 / $91.20	Professional		$15.14	$48.98	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $151.36	Professional		$61.66	$91.20	$151.36