Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.52 / $111.26 / $111.26	Facility	26	$99.52	$111.26	$111.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $224.53 / $347.69	Professional		$175.41	$224.53	$347.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $214.33 / $214.33	Professional		$214.33	$214.33	$214.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $224.17 / $440.37	Professional		$208.96	$224.17	$440.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $229.53 / $458.90	Professional		$118.46	$229.53	$458.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $331.24 / $444.90	Professional		$226.01	$331.24	$444.90
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $111.26 / $111.26 / $111.26	Facility	26	$111.26	$111.26	$111.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $231.96 / $419.61	Professional		$179.85	$231.96	$419.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $204.97 / $399.84	Professional		$105.99	$204.97	$399.84
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $111.28 / $118.15 / $118.15	Facility	26	$111.28	$118.15	$118.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $229.53 / $468.44	Professional		$114.34	$229.53	$468.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $101.81 / $101.81 / $138.66	Facility	26	$101.81	$101.81	$138.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $224.79 / $241.47	Professional		$221.77	$224.79	$241.47
United Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $250.83 / $472.36	Professional		$167.63	$250.83	$472.36