Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $169.82 / $263.03	Facility	26	$66.07	$169.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $275.42	Professional		$107.15	$138.04	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $125.89	Professional		$87.10	$87.10	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $245.47	Professional		$128.82	$134.90	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $275.42	Professional		$102.33	$162.18	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $223.87	Professional		$141.25	$181.97	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $281.84	Professional		$87.10	$151.36	$281.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $147.91 / $245.47	Facility	26	$72.44	$147.91	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $331.13	Professional		$112.20	$162.18	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $309.03	Professional		$138.04	$199.53	$309.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $67.61	Facility	26	$56.23	$56.23	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $131.83	Professional		$53.70	$79.43	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $229.09	Professional		$102.33	$134.90	$229.09