Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $331.13 / $489.78	Facility	26	$158.49	$331.13	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $331.13	Professional	26	$85.11	$125.89	$331.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $87.10 / $162.18	Professional	26	$83.18	$87.10	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $104.71 / $165.96	Professional	26	$61.66	$104.71	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $131.83	Professional	26	$112.20	$112.20	$131.83
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $177.83	Professional	26	$89.13	$114.82	$177.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $245.47	Professional	26	$123.03	$123.03	$245.47
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $239.88 / $467.74	Facility	26	$158.49	$239.88	$467.74
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $275.42	Professional	26	$89.13	$125.89	$275.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $112.20 / $112.20	Facility	26	$83.18	$112.20	$112.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $112.20	Professional	26	$83.18	$112.20	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $165.96	Professional	26	$74.13	$100.00	$165.96