Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $53.66 / $115.06	Facility	26	$36.40	$53.66	$115.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $96.76 / $144.22	Professional		$80.83	$96.76	$144.22
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $95.49 / $166.85	Professional		$92.02	$95.49	$166.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $131.93 / $201.80	Professional		$76.73	$131.93	$201.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $130.13 / $145.69	Professional		$109.95	$130.13	$145.69
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $55.77 / $119.06	Facility	26	$36.40	$55.77	$119.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $115.31 / $272.16	Professional		$85.64	$115.31	$272.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $185.60 / $261.00	Professional		$139.19	$185.60	$261.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $131.65 / $201.80	Professional		$78.89	$131.65	$201.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.94 / $36.94 / $39.00	Facility	26	$36.94	$36.94	$39.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $92.89 / $113.50	Professional		$91.61	$92.89	$113.50
United Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $102.75 / $167.89	Professional		$86.43	$102.75	$167.89