Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $218.78 / $331.13	Facility	26	$89.13	$218.78	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $575.44	Professional		$295.12	$363.08	$575.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $630.96	Professional		$354.81	$371.54	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $660.69	Professional		$295.12	$426.58	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $630.96	Professional		$478.63	$501.19	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $724.44	Professional		$269.15	$446.68	$724.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $194.98 / $323.59	Facility	26	$85.11	$194.98	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $1,000.00	Professional		$302.00	$407.38	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $758.58	Professional		$398.11	$660.69	$758.58
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $79.43 / $79.43	Facility	26	$72.44	$79.43	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $416.87	Professional		$134.90	$354.81	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $660.69	Professional		$309.03	$398.11	$660.69