Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $60.26 / $60.26	Facility	26	$19.95	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $162.18	Professional		$70.79	$87.10	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $416.87	Professional		$32.36	$48.98	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.68 / $21.88 / $31.62	Facility	26	$4.68	$21.88	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $83.18 / $186.21	Professional		$35.48	$83.18	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $177.83	Professional		$91.20	$134.90	$177.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $93.33 / $162.18	Professional		$34.67	$93.33	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $60.26	Facility	26	$19.95	$19.95	$60.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $229.09	Professional		$72.44	$95.50	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $131.83 / $186.21	Professional		$36.31	$131.83	$186.21
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $33.11 / $33.11	Facility	26	$19.05	$33.11	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $37.15 / $81.28	Professional		$12.02	$37.15	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $89.13 / $165.96	Professional		$36.31	$89.13	$165.96