Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $112.20 / $165.96	Facility	26	$50.12	$112.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $512.86	Professional		$173.78	$218.78	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $407.38	Professional	TC	$134.90	$173.78	$407.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $416.87	Professional		$194.98	$204.17	$416.87
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $158.49 / $331.13	Professional	TC	$154.88	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $426.58	Professional		$169.82	$275.42	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $346.74	Professional	TC	$138.04	$218.78	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $346.74	Professional		$288.40	$288.40	$346.74
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $281.84	Professional	TC	$234.42	$234.42	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $416.87	Professional		$190.55	$269.15	$416.87
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $208.93 / $323.59	Professional	TC	$151.36	$208.93	$323.59
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $112.20 / $158.49	Facility	26	$50.12	$112.20	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $691.83	Professional		$181.97	$239.88	$691.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $549.54	Professional	TC	$144.54	$190.55	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $457.09	Professional		$309.03	$389.05	$457.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $50.12 / $50.12	Facility	26	$42.66	$50.12	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $162.18 / $407.38	Professional		$61.66	$162.18	$407.38
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $173.78 / $199.53	Professional	TC	$158.49	$173.78	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $407.38	Professional		$194.98	$245.47	$407.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $323.59	Professional	TC	$154.88	$199.53	$323.59