Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.87 / $208.99 / $254.06	Facility	26	$54.87	$208.99	$254.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $222.37 / $883.60	Professional		$107.42	$222.37	$883.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $268.41 / $459.26	Professional		$258.64	$268.41	$459.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.47 / $68.47 / $68.47	Facility	26	$68.47	$68.47	$68.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $136.44 / $329.41	Professional		$68.47	$136.44	$329.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $393.31 / $520.20	Professional		$169.86	$393.31	$520.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $54.87 / $183.27 / $254.06	Facility	26	$54.87	$183.27	$254.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $264.55 / $1,096.56	Professional		$157.34	$264.55	$1,096.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $246.52 / $443.89	Professional		$59.36	$246.52	$443.89
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.47 / $68.47 / $68.47	Facility	26	$68.47	$68.47	$68.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $142.91 / $370.03	Professional		$70.04	$142.91	$370.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $59.71 / $59.71 / $67.79	Facility	26	$59.71	$59.71	$67.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $265.51 / $288.52	Professional		$156.22	$265.51	$288.52
United Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $266.62 / $446.54	Professional		$146.63	$266.62	$446.54