Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.13 / $88.35 / $115.70	Facility	26	$58.13	$88.35	$115.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $144.60 / $691.00	Professional		$110.86	$144.60	$691.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $114.20 / $134.09	Professional		$114.20	$114.20	$134.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $174.31 / $277.63	Professional		$167.14	$174.31	$277.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $173.86 / $280.93	Professional		$116.54	$173.86	$280.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $238.81 / $417.66	Professional		$148.51	$238.81	$417.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $58.13 / $89.55 / $186.02	Facility	26	$58.13	$89.55	$186.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $161.71 / $685.00	Professional		$121.29	$161.71	$685.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $144.90 / $310.30	Professional		$136.69	$144.90	$310.30
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $175.86 / $274.80	Professional		$116.54	$175.86	$274.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $59.31 / $59.31 / $61.00	Facility	26	$59.31	$59.31	$61.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $150.99 / $162.93	Professional		$115.50	$150.99	$162.93
United Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $153.22 / $260.87	Professional		$108.68	$153.22	$260.87