Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $112.20 / $190.55	Facility	26	$48.98	$112.20	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $229.09	Professional		$89.13	$125.89	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $52.48 / $120.23	Professional	26	$32.36	$52.48	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $33.11 / $38.90	Professional	26	$32.36	$33.11	$38.90
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $204.17	Professional		$104.71	$107.15	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.12 / $85.11	Professional	26	$47.86	$50.12	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $79.43	Facility	26	$11.75	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $223.87	Professional		$77.62	$128.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $46.77 / $89.13	Professional	26	$32.36	$46.77	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $181.97	Professional		$112.20	$144.54	$181.97
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $79.43	Professional	26	$48.98	$64.57	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $223.87	Professional		$56.23	$117.49	$223.87
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $51.29 / $102.33	Professional	26	$28.84	$51.29	$102.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $60.26 / $79.43	Professional	26	$54.95	$60.26	$79.43
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $93.33 / $162.18	Facility	26	$48.98	$93.33	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $275.42	Professional		$93.33	$138.04	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $112.20	Professional	26	$33.88	$56.23	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $245.47	Professional		$89.13	$162.18	$245.47
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $48.98 / $48.98	Facility	26	$37.15	$48.98	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $104.71 / $346.74	Professional		$28.84	$104.71	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $48.98 / $50.12	Professional	26	$46.77	$48.98	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $186.21	Professional		$72.44	$109.65	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.02 / $64.57	Professional	26	$29.51	$38.02	$64.57