Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $138.04 / $199.53	Facility	26	$60.26	$138.04	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $478.63	Professional		$117.49	$173.78	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $616.60	Professional		$141.25	$181.97	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $602.56	Professional		$123.03	$251.19	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $245.47	Professional		$151.36	$194.98	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $537.03	Professional		$147.91	$309.03	$537.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $138.04 / $190.55	Facility	26	$60.26	$138.04	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $512.86	Professional		$123.03	$208.93	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $724.44	Professional		$257.04	$380.19	$724.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $93.33	Facility	26	$51.29	$51.29	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $346.74	Professional		$134.90	$338.84	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $489.78	Professional		$131.83	$190.55	$489.78