Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.91 / $148.06 / $225.05	Facility	26	$126.91	$148.06	$225.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $860.72 / $1,487.77	Professional		$786.64	$860.72	$1,487.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $692.31 / $1,222.18 / $1,545.51	Professional		$692.31	$1,222.18	$1,545.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.48 / $1,023.35 / $1,713.36	Professional		$814.48	$1,023.35	$1,713.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.65 / $1,257.65 / $1,287.98	Professional		$1,257.65	$1,257.65	$1,287.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $120.87 / $175.26 / $293.14	Facility	26	$120.87	$175.26	$293.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $979.75 / $2,843.00	Professional		$786.64	$979.75	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.60 / $1,039.00 / $2,483.10	Professional		$891.60	$1,039.00	$2,483.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $825.63 / $1,032.51 / $1,713.36	Professional		$825.63	$1,032.51	$1,713.36
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $125.67 / $125.67 / $138.56	Facility	26	$125.67	$125.67	$138.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $686.60 / $827.21 / $903.44	Professional		$686.60	$827.21	$903.44
United Facility/Professional Professional Modifier Low / Median / High Price $812.73 / $1,056.00 / $1,610.21	Professional		$812.73	$1,056.00	$1,610.21