Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $61.66 / $104.71	Facility	26	$26.92	$61.66	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $457.09	Professional		$61.66	$100.00	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $89.13	Professional		$66.07	$83.18	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Professional		$100.00	$100.00	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $186.21	Professional		$63.10	$95.50	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $177.83	Professional		$91.20	$125.89	$177.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $169.82	Professional		$58.88	$125.89	$169.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $53.70 / $100.00	Facility	26	$28.18	$53.70	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $263.03	Professional		$66.07	$117.49	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $199.53	Professional		$97.72	$141.25	$199.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $29.51 / $29.51	Facility	26	$28.18	$29.51	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $309.03	Professional		$46.77	$58.88	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $151.36	Professional		$63.10	$93.33	$151.36