Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $204.17 / $288.40	Facility	26	$81.28	$204.17	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $354.81	Professional		$134.90	$177.83	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $181.97	Professional	26	$57.54	$74.13	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $309.03	Professional		$169.82	$177.83	$309.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $79.43 / $141.25	Professional	26	$75.86	$79.43	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $147.91	Professional	26	$60.26	$93.33	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $302.00	Professional		$213.80	$245.47	$302.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $123.03	Professional	26	$66.07	$102.33	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $346.74	Professional		$141.25	$208.93	$346.74
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $154.88	Professional	26	$67.61	$97.72	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $165.96 / $275.42	Facility	26	$81.28	$165.96	$275.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $426.58	Professional		$144.54	$204.17	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $194.98	Professional	26	$63.10	$89.13	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $371.54	Professional		$194.98	$316.23	$371.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $77.62 / $77.62	Facility	26	$74.13	$77.62	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $173.78 / $346.74	Professional		$28.18	$173.78	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $75.86 / $77.62	Professional	26	$72.44	$75.86	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $281.84	Professional		$138.04	$177.83	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $131.83	Professional	26	$63.10	$81.28	$131.83