Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.05 / $76.68 / $195.36	Facility	26	$61.05	$76.68	$195.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.12 / $129.81 / $188.40	Professional		$106.12	$129.81	$188.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $185.87 / $305.23	Professional		$112.60	$185.87	$305.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $160.38 / $249.33	Professional		$104.91	$160.38	$249.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $165.51 / $169.94	Professional		$128.72	$165.51	$169.94
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $61.05 / $101.88 / $199.63	Facility	26	$61.05	$101.88	$199.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $140.05 / $217.78	Professional		$106.44	$140.05	$217.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $325.00 / $355.90	Professional		$230.50	$325.00	$355.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $163.74 / $253.44	Professional		$107.47	$163.74	$253.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.48 / $54.48 / $64.00	Facility	26	$54.48	$54.48	$64.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $109.48 / $184.50	Professional		$107.64	$109.48	$184.50
United Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $143.94 / $224.51	Professional		$106.89	$143.94	$224.51