Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.66 / $67.48 / $162.11	Facility	26	$50.66	$67.48	$162.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $149.38 / $263.12	Professional		$118.03	$149.38	$263.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $225.69 / $900.56	Professional		$140.47	$225.69	$900.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $254.60 / $612.04	Professional		$115.77	$254.60	$612.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $217.80 / $465.98	Professional		$168.60	$217.80	$465.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $50.66 / $94.73 / $165.66	Facility	26	$50.66	$94.73	$165.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $182.26 / $419.75	Professional		$123.43	$182.26	$419.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.50 / $676.50 / $828.40	Professional		$328.50	$676.50	$828.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $59.33 / $59.33	Facility	26	$37.82	$59.33	$59.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $243.66 / $601.91	Professional		$119.96	$243.66	$601.91
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $51.50 / $51.50 / $94.00	Facility	26	$51.50	$51.50	$94.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $137.78 / $523.85	Professional		$135.54	$137.78	$523.85
United Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $193.30 / $471.63	Professional		$131.76	$193.30	$471.63