Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $134.90 / $204.17	Facility	26	$51.29	$134.90	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $380.19	Professional		$93.33	$131.83	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $616.60	Professional		$112.20	$144.54	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $87.10	Facility	26	$13.18	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $588.84	Professional		$100.00	$213.80	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $194.98	Professional		$120.23	$154.88	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $537.03	Professional		$117.49	$269.15	$537.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $114.82 / $190.55	Facility	26	$51.29	$114.82	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $446.68	Professional		$100.00	$177.83	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $724.44	Professional		$199.53	$316.23	$724.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $102.33 / $102.33	Facility	26	$52.48	$102.33	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $346.74 / $380.19	Professional		$112.20	$346.74	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $478.63	Professional		$109.65	$158.49	$478.63