Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.03 / $57.23 / $164.42	Facility	26	$52.03	$57.23	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $119.58 / $241.20	Professional		$104.51	$119.58	$241.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $127.96 / $264.81	Professional		$123.31	$127.96	$264.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $229.43 / $609.34	Professional		$102.50	$229.43	$609.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $190.51 / $453.92	Professional		$147.41	$190.51	$453.92
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $52.03 / $95.21 / $170.14	Facility	26	$52.03	$95.21	$170.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $138.81 / $509.10	Professional		$104.51	$138.81	$509.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $677.70 / $728.70	Professional		$290.60	$677.70	$728.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $37.75 / $60.73 / $60.73	Facility	26	$37.75	$60.73	$60.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $221.38 / $597.08	Professional		$106.94	$221.38	$597.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.77 / $52.77 / $75.00	Facility	26	$52.77	$52.77	$75.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $121.99 / $504.85	Professional		$119.95	$121.99	$504.85
United Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $176.68 / $476.05	Professional		$121.41	$176.68	$476.05