Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $467.74	Facility	26	$158.49	$158.49	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $467.74	Professional		$169.82	$208.93	$467.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $354.81	Professional		$181.97	$186.21	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $426.58	Professional		$144.54	$218.78	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $436.52	Professional		$223.87	$331.13	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $398.11	Professional		$138.04	$239.88	$398.11
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $467.74	Facility	26	$158.49	$158.49	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $512.86	Professional		$177.83	$229.09	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $407.38	Professional		$128.82	$309.03	$407.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $144.54 / $144.54	Facility	26	$79.43	$144.54	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $309.03	Professional		$45.71	$100.00	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $380.19	Professional		$134.90	$204.17	$380.19