Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.04 / $103.13 / $265.00	Facility	26	$81.04	$103.13	$265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.62 / $643.27 / $801.51	Professional		$548.62	$643.27	$801.51
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $606.86 / $629.76 / $1,145.09	Professional		$606.86	$629.76	$1,145.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.65 / $96.65 / $96.65	Facility	26	$96.65	$96.65	$96.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.41 / $807.04 / $1,270.75	Professional		$510.41	$807.04	$1,270.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $889.20 / $989.86	Professional		$889.20	$889.20	$989.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $81.04 / $108.36 / $271.48	Facility	26	$81.04	$108.36	$271.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $581.28 / $678.89 / $1,408.37	Professional		$581.28	$678.89	$1,408.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $1,203.99 / $1,366.80	Professional		$162.81	$1,203.99	$1,366.80
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $96.65 / $96.65 / $96.65	Facility	26	$96.65	$96.65	$96.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $546.07 / $842.13 / $1,331.07	Professional		$546.07	$842.13	$1,331.07
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $82.78 / $82.78 / $97.25	Facility	26	$82.78	$82.78	$97.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $617.65 / $629.35 / $761.67	Professional		$617.65	$629.35	$761.67
United Facility/Professional Professional Modifier Low / Median / High Price $623.19 / $796.29 / $1,296.71	Professional		$623.19	$796.29	$1,296.71