Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $109.65 / $331.13	Facility	26	$41.69	$109.65	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $239.88	Professional		$56.23	$87.10	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $269.15	Professional		$66.07	$69.18	$269.15
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $138.04 / $537.03	Professional	50	$131.83	$138.04	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $154.88 / $257.04	Professional		$63.10	$154.88	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $114.82	Professional		$81.28	$95.50	$114.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $213.80	Professional		$70.79	$120.23	$213.80
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $102.33 / $331.13	Facility	26	$41.69	$102.33	$331.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $281.84	Professional		$58.88	$117.49	$281.84
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $346.74	Professional		$123.03	$204.17	$346.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $85.11	Facility	26	$38.02	$38.02	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $66.07 / $125.89	Professional		$25.12	$66.07	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $204.17	Professional		$70.79	$109.65	$204.17