Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $120.23 / $173.78	Facility	26	$43.65	$120.23	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $562.34	Professional		$281.84	$346.74	$562.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $724.44	Professional		$338.84	$354.81	$724.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $74.13	Facility	26	$10.96	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Professional		$295.12	$489.78	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $602.56	Professional		$371.54	$478.63	$602.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $707.95	Professional		$288.40	$389.05	$707.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $117.49 / $165.96	Facility	26	$48.98	$117.49	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $891.25	Professional		$302.00	$389.05	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $489.78 / $676.08	Professional		$83.18	$489.78	$676.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $52.48	Facility	26	$44.67	$44.67	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $407.38	Professional		$74.13	$169.82	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $660.69	Professional		$331.13	$416.87	$660.69