Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $124.58 / $249.88	Facility	26	$71.59	$124.58	$249.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $345.86 / $399.27	Professional		$292.45	$345.86	$399.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $542.67 / $627.29	Professional		$354.71	$542.67	$627.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $424.42 / $662.26	Professional		$300.43	$424.42	$662.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $482.09 / $576.21	Professional		$417.81	$482.09	$576.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $136.53 / $282.82	Facility	26	$71.59	$136.53	$282.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $364.18 / $649.83	Professional		$292.45	$364.18	$649.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $461.60 / $685.36	Professional		$110.26	$461.60	$685.36
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $433.62 / $718.11	Professional		$306.31	$433.62	$718.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $72.36 / $72.36 / $78.75	Facility	26	$72.36	$72.36	$78.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $340.78 / $346.73 / $377.52	Professional		$340.78	$346.73	$377.52
United Facility/Professional Professional Modifier Low / Median / High Price $312.16 / $403.34 / $673.70	Professional		$312.16	$403.34	$673.70