Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $113.31 / $113.31	Facility	26	$102.90	$113.31	$113.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $384.20 / $469.95	Professional		$313.93	$384.20	$469.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $328.09 / $385.99 / $749.68	Professional		$328.09	$385.99	$749.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.80 / $127.80 / $127.80	Facility	26	$127.80	$127.80	$127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $456.17 / $821.13	Professional		$279.74	$456.17	$821.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $579.30 / $772.59	Professional		$396.40	$579.30	$772.59
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $113.31 / $113.31 / $113.31	Facility	26	$113.31	$113.31	$113.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.32 / $400.42 / $723.21	Professional		$336.32	$400.42	$723.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $325.27 / $624.24	Professional		$128.59	$325.27	$624.24
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $127.80 / $127.80 / $136.12	Facility	26	$127.80	$127.80	$136.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $464.20 / $888.88	Professional		$293.20	$464.20	$888.88
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $106.00 / $106.00 / $130.30	Facility	26	$106.00	$106.00	$130.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $386.70 / $418.36	Professional		$380.94	$386.70	$418.36
United Facility/Professional Professional Modifier Low / Median / High Price $232.89 / $385.99 / $724.04	Professional		$232.89	$385.99	$724.04