Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $239.88 / $489.78	Facility	26	$125.89	$239.88	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $331.13	Professional	26	$91.20	$125.89	$331.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $93.33 / $177.83	Professional	26	$91.20	$93.33	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $177.83	Professional	26	$64.57	$112.20	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $144.54	Professional	26	$120.23	$120.23	$144.54
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $190.55	Professional	26	$93.33	$123.03	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $138.04 / $630.96	Professional	26	$102.33	$138.04	$630.96
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $239.88 / $467.74	Facility	26	$125.89	$239.88	$467.74
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $125.89 / $331.13	Professional	26	$97.72	$125.89	$331.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $104.71 / $104.71	Facility	26	$89.13	$104.71	$104.71
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $93.33 / $104.71	Professional	26	$87.10	$93.33	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $177.83	Professional	26	$79.43	$107.15	$177.83