Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $58.88 / $257.04	Facility	26	$33.88	$58.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $660.69	Professional		$141.25	$229.09	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $275.42	Professional		$120.23	$120.23	$275.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $281.84	Professional		$144.54	$151.36	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $57.54	Facility	26	$8.51	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $302.00	Professional		$131.83	$169.82	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $269.15	Professional		$181.97	$213.80	$269.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $263.03	Professional		$123.03	$169.82	$263.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $52.48 / $257.04	Facility	26	$33.88	$52.48	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $524.81	Professional		$141.25	$223.87	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $331.13	Professional		$109.65	$234.42	$331.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $44.67	Facility	26	$35.48	$35.48	$44.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $77.62 / $234.42	Professional		$9.77	$77.62	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Professional		$123.03	$165.96	$281.84