Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $14.45 / $16.98	Facility	26	$10.00	$14.45	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $134.90	Professional		$42.66	$52.48	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $85.11	Professional		$40.74	$47.86	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $138.04	Professional		$47.86	$72.44	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $102.33	Professional		$53.70	$70.79	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $117.49	Professional		$48.98	$77.62	$117.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $14.45 / $19.05	Facility	26	$10.00	$14.45	$19.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $151.36	Professional		$43.65	$61.66	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $128.82	Professional		$75.86	$97.72	$128.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $10.47	Facility	26	$9.33	$9.33	$10.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $69.18	Professional		$20.42	$38.90	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $109.65	Professional		$43.65	$58.88	$109.65