Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.30 / $102.93 / $157.01	Facility	26	$93.30	$102.93	$157.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $163.62 / $268.69	Professional		$137.24	$163.62	$268.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $142.96 / $142.96	Professional		$142.96	$142.96	$142.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $190.84 / $362.29	Professional		$161.10	$190.84	$362.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $201.78 / $331.44	Professional		$154.55	$201.78	$331.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $245.98 / $454.02	Professional		$178.84	$245.98	$454.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $85.79 / $134.34 / $203.80	Facility	26	$85.79	$134.34	$203.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $185.77 / $453.83	Professional		$146.83	$185.77	$453.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $249.19 / $413.70	Professional		$106.68	$249.19	$413.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $201.78 / $352.72	Professional		$154.55	$201.78	$352.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $88.97 / $88.97 / $118.67	Facility	26	$88.97	$88.97	$118.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $155.33 / $174.67	Professional		$152.75	$155.33	$174.67
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $196.12 / $292.49	Professional		$151.97	$196.12	$292.49