Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $208.93 / $323.59	Facility	26	$89.13	$208.93	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $354.81	Professional		$120.23	$151.36	$354.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $269.15	Professional		$147.91	$151.36	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $281.84	Professional		$117.49	$177.83	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $251.19	Professional		$194.98	$204.17	$251.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $295.12	Professional		$112.20	$181.97	$295.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $186.21 / $281.84	Facility	26	$89.13	$186.21	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $426.58	Professional		$125.89	$177.83	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $354.81	Professional		$229.09	$269.15	$354.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $77.62 / $77.62	Facility	26	$72.44	$77.62	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $165.96 / $371.54	Professional		$48.98	$165.96	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $275.42	Professional		$131.83	$162.18	$275.42