Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $22.91 / $38.90	Facility	26	$21.38	$22.91	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $125.89	Professional		$61.66	$75.86	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $41.69	Professional	26	$19.95	$22.91	$41.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $112.20	Professional		$56.23	$66.07	$112.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.88 / $36.31	Professional	26	$18.62	$21.88	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $24.55 / $34.67	Facility	26	$5.25	$24.55	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $154.88	Professional		$66.07	$89.13	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $48.98	Professional	26	$20.89	$28.18	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Professional		$70.79	$93.33	$134.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $41.69	Professional	26	$21.38	$28.84	$41.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $117.49	Professional		$64.57	$75.86	$117.49
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.12 / $37.15	Professional	26	$21.88	$25.12	$37.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $36.31	Professional	26	$23.44	$23.44	$36.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $22.91 / $38.90	Facility	26	$21.38	$22.91	$38.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $169.82	Professional		$63.10	$81.28	$169.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $57.54	Professional	26	$19.95	$25.70	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $181.97	Professional		$44.67	$120.23	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $25.70	Facility	26	$21.88	$21.88	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $72.44 / $309.03	Professional		$23.44	$72.44	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.88 / $22.91	Professional	26	$21.38	$21.88	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $134.90	Professional		$61.66	$79.43	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.12 / $42.66	Professional	26	$19.50	$25.12	$42.66