Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $229.09 / $436.52	Facility	26	$125.89	$229.09	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $208.93 / $446.68	Professional	26	$112.20	$208.93	$446.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $177.83 / $213.80	Professional	26	$120.23	$177.83	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $117.49 / $218.78	Professional	26	$114.82	$117.49	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $138.04 / $223.87	Professional	26	$79.43	$138.04	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $181.97	Professional	26	$151.36	$151.36	$181.97
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $239.88	Professional	26	$109.65	$151.36	$239.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $138.04 / $213.80	Professional	26	$125.89	$138.04	$213.80
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $213.80 / $416.87	Facility	26	$125.89	$213.80	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $173.78 / $380.19	Professional	26	$112.20	$173.78	$380.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $131.83 / $131.83	Facility	26	$112.20	$131.83	$131.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $131.83 / $131.83	Professional	26	$112.20	$131.83	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $134.90 / $229.09	Professional	26	$102.33	$134.90	$229.09