Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $112.20 / $194.98	Facility	26	$57.54	$112.20	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $691.83	Professional		$114.82	$177.83	$691.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $263.03	Professional		$165.96	$173.78	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $70.79 / $102.33	Facility	26	$15.14	$70.79	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $275.42	Professional		$109.65	$165.96	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $295.12	Professional		$204.17	$245.47	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $338.84	Professional		$95.50	$194.98	$338.84
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $107.15 / $190.55	Facility	26	$57.54	$107.15	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $398.11	Professional		$120.23	$181.97	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $346.74	Professional		$138.04	$257.04	$346.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $61.66	Facility	26	$58.88	$58.88	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $151.36 / $346.74	Professional		$50.12	$151.36	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88