Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $213.80	Professional		$39.81	$54.95	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $57.54	Professional		$44.67	$50.12	$57.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $81.28	Professional		$40.74	$47.86	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.89 / $4.17 / $6.03	Facility	26	$0.89	$4.17	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $114.82	Professional		$46.77	$66.07	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $107.15	Professional		$56.23	$74.13	$107.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $102.33	Professional		$50.12	$69.18	$102.33
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 $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $138.04	Professional		$40.74	$58.88	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $91.20 / $117.49	Professional		$30.90	$91.20	$117.49
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $3.63 / $3.63 / $3.98	Facility	26	$3.63	$3.63	$3.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $30.90 / $131.83	Professional		$3.47	$30.90	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $95.50	Professional		$41.69	$54.95	$95.50