Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $346.74	Professional		$169.82	$199.53	$346.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $389.05	Professional		$173.78	$181.97	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $446.68	Professional		$144.54	$223.87	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $407.38	Professional		$208.93	$309.03	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $380.19	Professional		$134.90	$218.78	$380.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $524.81	Professional		$173.78	$218.78	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $457.09	Professional		$165.96	$302.00	$457.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $77.62 / $77.62	Facility	26	$51.29	$77.62	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $181.97 / $467.74	Professional		$64.57	$181.97	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $389.05	Professional		$131.83	$213.80	$389.05