Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $165.96 / $251.19	Facility	26	$69.18	$165.96	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,148.15	Professional		$338.84	$446.68	$1,148.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $794.33	Professional		$426.58	$446.68	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $851.14	Professional		$275.42	$446.68	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $776.25	Professional		$588.84	$616.60	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $512.86 / $741.31	Professional		$204.17	$512.86	$741.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $151.36 / $251.19	Facility	26	$64.57	$151.36	$251.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,288.25	Professional		$346.74	$489.78	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $870.96	Professional		$489.78	$794.33	$870.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $57.54 / $57.54	Facility	26	$56.23	$57.54	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $457.09	Professional		$117.49	$213.80	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $831.76	Professional		$263.03	$457.09	$831.76