Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $263.03 / $416.87	Facility	26	$114.82	$263.03	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,148.15	Professional		$288.40	$398.11	$1,148.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $707.95	Professional		$331.13	$338.84	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $776.25	Professional		$281.84	$467.74	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $562.34	Professional		$354.81	$457.09	$562.34
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $691.83	Professional		$316.23	$398.11	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $257.04 / $416.87	Facility	26	$114.82	$257.04	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $977.24	Professional		$309.03	$467.74	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $645.65	Professional		$177.83	$446.68	$645.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $117.49 / $117.49	Facility	26	$97.72	$117.49	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $331.13 / $416.87	Professional		$125.89	$331.13	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $933.25	Professional		$331.13	$501.19	$933.25