Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.11 / $67.83 / $163.55	Facility	26	$51.11	$67.83	$163.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $131.83 / $233.08	Professional		$95.46	$131.83	$233.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $181.12 / $900.52	Professional		$111.54	$181.12	$900.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $212.76 / $596.59	Professional		$92.42	$212.76	$596.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $172.53 / $443.72	Professional		$133.08	$172.53	$443.72
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.11 / $93.71 / $167.13	Facility	26	$51.11	$93.71	$167.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $149.43 / $356.97	Professional		$100.27	$149.43	$356.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $676.80 / $727.70	Professional		$149.90	$676.80	$727.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $37.88 / $60.80 / $60.80	Facility	26	$37.88	$60.80	$60.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $206.29 / $596.59	Professional		$97.63	$206.29	$596.59
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $52.10 / $103.00	Facility	26	$52.10	$52.10	$103.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $110.58 / $532.85	Professional		$108.41	$110.58	$532.85
United Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $168.39 / $474.88	Professional		$110.48	$168.39	$474.88