Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $61.66 / $165.96	Facility	26	$50.12	$61.66	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $269.15	Professional		$83.18	$100.00	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $177.83	Professional		$87.10	$117.49	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $204.17	Professional		$81.28	$120.23	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $194.98	Professional		$97.72	$144.54	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $186.21	Professional		$89.13	$107.15	$186.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $134.90	Professional		$91.20	$100.00	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $61.66 / $165.96	Facility	26	$50.12	$61.66	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $251.19	Professional		$85.11	$114.82	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $190.55	Professional		$93.33	$141.25	$190.55
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $51.29	Facility	26	$46.77	$46.77	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $263.03	Professional		$33.88	$75.86	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $181.97	Professional		$81.28	$107.15	$181.97