Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $95.50 / $173.78	Facility	26	$47.86	$95.50	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $588.84	Professional		$100.00	$177.83	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $117.49	Professional		$83.18	$91.20	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $263.03	Professional		$114.82	$141.25	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Professional		$95.50	$141.25	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $204.17	Professional		$144.54	$169.82	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $245.47	Professional		$97.72	$147.91	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $199.53	Professional		$131.83	$151.36	$199.53
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $89.13 / $173.78	Facility	26	$46.77	$89.13	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $338.84	Professional		$100.00	$165.96	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $251.19	Professional		$93.33	$186.21	$251.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $58.88 / $58.88	Facility	26	$50.12	$58.88	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $194.98	Professional		$48.98	$79.43	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $194.98	Professional		$93.33	$120.23	$194.98