Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $229.09 / $467.74	Facility	26	$120.23	$229.09	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $346.74	Professional	26	$77.62	$125.89	$346.74
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $131.83	Professional	26	$69.18	$70.79	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $83.18 / $131.83	Professional	26	$47.86	$83.18	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $109.65	Professional	26	$91.20	$91.20	$109.65
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $144.54	Professional	26	$66.07	$91.20	$144.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $77.62 / $112.20	Professional	26	$75.86	$77.62	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $181.97 / $416.87	Facility	26	$102.33	$181.97	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $125.89 / $275.42	Professional	26	$75.86	$125.89	$275.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $158.49 / $158.49	Facility	26	$67.61	$158.49	$158.49
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $70.79 / $158.49	Professional	26	$67.61	$70.79	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $131.83	Professional	26	$61.66	$81.28	$131.83