Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $154.88 / $288.40	Facility	26	$77.62	$154.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $1,096.48	Professional		$213.80	$389.05	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $398.11	Professional		$177.83	$213.80	$398.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $489.78	Professional		$245.47	$257.04	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $489.78	Professional		$177.83	$269.15	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $446.68	Professional		$316.23	$363.08	$446.68
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $436.52	Professional		$147.91	$275.42	$436.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $478.63	Professional		$288.40	$380.19	$478.63
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $151.36 / $269.15	Facility	26	$77.62	$151.36	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $741.31	Professional		$213.80	$346.74	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $549.54	Professional		$186.21	$398.11	$549.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $89.13 / $89.13	Facility	26	$77.62	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $269.15 / $389.05	Professional		$81.28	$269.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $416.87	Professional		$158.49	$263.03	$416.87