Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $107.15 / $107.15	Facility	26	$63.10	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $416.87	Professional		$61.66	$109.65	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $58.88 / $616.60	Professional	26	$19.05	$58.88	$616.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $223.87	Professional		$123.03	$134.90	$223.87
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.92 / $45.71	Professional	26	$26.30	$26.92	$45.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $29.51 / $42.66	Facility	26	$6.31	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $177.83	Professional		$47.86	$79.43	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $38.90	Professional	26	$12.30	$17.78	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $239.88	Professional		$100.00	$181.97	$239.88
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $46.77	Professional	26	$19.05	$36.31	$46.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $281.84	Professional		$109.65	$162.18	$281.84
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $32.36 / $57.54	Professional	26	$26.92	$32.36	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.90 / $37.15	Professional	26	$28.18	$30.90	$37.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $107.15 / $107.15	Facility	26	$63.10	$107.15	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $416.87	Professional		$83.18	$128.82	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $31.62 / $323.59	Professional	26	$19.05	$31.62	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $257.04	Professional		$131.83	$199.53	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $309.03	Professional		$51.29	$100.00	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $26.30 / $28.18	Professional	26	$25.70	$26.30	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $169.82	Professional		$58.88	$107.15	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $27.54 / $44.67	Professional	26	$15.14	$27.54	$44.67