Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $57.31 / $164.64	Facility	26	$52.10	$57.31	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $117.41 / $243.91	Professional		$100.64	$117.41	$243.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $122.02 / $256.54	Professional		$117.59	$122.02	$256.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $222.72 / $612.41	Professional		$97.60	$222.72	$612.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $181.78 / $458.06	Professional		$140.44	$181.78	$458.06
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $95.34 / $170.37	Facility	26	$52.10	$95.34	$170.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $138.72 / $307.32	Professional		$103.77	$138.72	$307.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $677.90 / $728.90	Professional		$290.00	$677.90	$728.90
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.00 / $60.76 / $60.76	Facility	26	$38.00	$60.76	$60.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $215.05 / $602.71	Professional		$103.64	$215.05	$602.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.13 / $52.13 / $96.00	Facility	26	$52.13	$52.13	$96.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $116.61 / $525.85	Professional		$114.53	$116.61	$525.85
United Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $164.81 / $476.11	Professional		$114.10	$164.81	$476.11