Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $239.88 / $467.74	Facility	26	$125.89	$239.88	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $263.03	Professional	26	$85.11	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $125.89 / $147.91	Professional	26	$57.54	$125.89	$147.91
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $91.20 / $154.88	Professional	26	$87.10	$91.20	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $107.15 / $169.82	Professional	26	$63.10	$107.15	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $141.25	Professional	26	$117.49	$117.49	$141.25
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $147.91	Professional	26	$93.33	$117.49	$147.91
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $134.90 / $165.96	Professional	26	$100.00	$134.90	$165.96
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $229.09 / $416.87	Facility	26	$125.89	$229.09	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $269.15	Professional	26	$89.13	$128.82	$269.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $102.33	Facility	26	$87.10	$87.10	$102.33
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $89.13 / $102.33	Professional	26	$83.18	$89.13	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $169.82	Professional	26	$79.43	$104.71	$169.82