Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $158.49 / $281.84	Facility	26	$81.28	$158.49	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $446.68	Professional		$114.82	$141.25	$446.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $323.59	Professional		$131.83	$169.82	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $269.15	Professional		$107.15	$169.82	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $218.78	Professional		$173.78	$177.83	$218.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $281.84	Professional		$141.25	$177.83	$281.84
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $154.88 / $281.84	Facility	26	$81.28	$154.88	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $407.38	Professional		$117.49	$169.82	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $281.84	Professional		$208.93	$245.47	$281.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $97.72	Facility	26	$83.18	$83.18	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $416.87	Professional		$58.88	$138.04	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $257.04	Professional		$123.03	$162.18	$257.04