Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $147.91 / $213.80	Facility	26	$64.57	$147.91	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $512.86	Professional		$177.83	$223.87	$512.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $549.54	Professional		$204.17	$275.42	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $467.74	Professional		$173.78	$295.12	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $436.52	Professional		$234.42	$288.40	$436.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $147.91 / $204.17	Facility	26	$64.57	$147.91	$204.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $724.44	Professional		$190.55	$245.47	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $467.74	Professional		$323.59	$407.38	$467.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $60.26	Facility	26	$54.95	$54.95	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $281.84	Professional		$75.86	$162.18	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $426.58	Professional		$199.53	$275.42	$426.58