Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.35 / $101.29 / $193.17	Facility	26	$55.35	$101.29	$193.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $388.37 / $822.90	Professional		$325.22	$388.37	$822.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.76 / $345.76 / $345.76	Professional		$345.76	$345.76	$345.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $426.63 / $446.62 / $798.51	Professional		$426.63	$446.62	$798.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.50 / $453.63 / $801.86	Professional		$288.50	$453.63	$801.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $554.59 / $696.77	Professional		$379.90	$554.59	$696.77
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $55.35 / $103.50 / $218.63	Facility	26	$55.35	$103.50	$218.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $337.18 / $435.79 / $1,342.26	Professional		$337.18	$435.79	$1,342.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $602.70 / $837.24	Professional		$84.48	$602.70	$837.24
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $291.17 / $462.67 / $801.86	Professional		$291.17	$462.67	$801.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $55.78 / $55.78 / $57.50	Facility	26	$55.78	$55.78	$57.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $419.99 / $459.16	Professional		$299.00	$419.99	$459.16
United Facility/Professional Professional Modifier Low / Median / High Price $283.47 / $469.60 / $824.95	Professional		$283.47	$469.60	$824.95