Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $173.78 / $251.19	Facility	26	$63.10	$173.78	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $1,174.90	Professional		$295.12	$371.54	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $151.36	Professional	26	$56.23	$72.44	$151.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $660.69	Professional		$316.23	$407.38	$660.69
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $165.96	Professional	26	$64.57	$87.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $645.65	Professional		$251.19	$389.05	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $125.89	Professional	26	$45.71	$79.43	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $102.33	Professional	26	$85.11	$85.11	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $660.69	Professional		$218.78	$426.58	$660.69
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $134.90	Professional	26	$61.66	$87.10	$134.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $104.71 / $120.23	Professional	26	$93.33	$104.71	$120.23
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $165.96 / $239.88	Facility	26	$70.79	$165.96	$239.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $954.99	Professional		$302.00	$407.38	$954.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $77.62 / $162.18	Professional	26	$57.54	$77.62	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $758.58	Professional		$501.19	$630.96	$758.58
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $70.79 / $70.79	Facility	26	$64.57	$70.79	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $363.08	Professional		$138.04	$194.98	$363.08
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $66.07 / $70.79	Professional	26	$63.10	$66.07	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $660.69	Professional		$251.19	$389.05	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $125.89	Professional	26	$61.66	$75.86	$125.89