Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $26.80 / $49.89	Facility	26	$24.59	$26.80	$49.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $72.56 / $210.00	Professional		$42.88	$72.56	$210.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.29 / $43.32 / $137.00	Professional	26	$26.29	$43.32	$137.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $82.15 / $82.15	Professional		$82.15	$82.15	$82.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.56 / $48.94 / $53.21	Professional	26	$36.56	$48.94	$53.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $51.71 / $59.16	Professional		$51.71	$51.71	$59.16
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $30.98 / $35.44	Professional	26	$30.98	$30.98	$35.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $75.67 / $91.50	Professional		$48.36	$75.67	$91.50
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $28.97 / $47.19 / $71.34	Professional	26	$28.97	$47.19	$71.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $62.48 / $97.07	Professional		$49.58	$62.48	$97.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $41.41 / $62.34	Professional	26	$30.87	$41.41	$62.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $79.01 / $79.01	Professional		$59.13	$79.01	$79.01
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $46.65 / $46.65	Professional	26	$34.79	$46.65	$46.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $51.71 / $107.73	Professional		$51.71	$51.71	$107.73
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $30.98 / $35.44	Professional	26	$30.98	$30.98	$35.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $33.95 / $50.56	Facility	26	$24.59	$33.95	$50.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $77.40 / $177.00	Professional		$43.64	$77.40	$177.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $47.91 / $102.76	Professional	26	$26.62	$47.91	$102.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $66.20 / $124.10	Professional		$49.80	$66.20	$124.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $62.90 / $99.52	Professional		$47.90	$62.90	$99.52
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $41.08 / $67.50	Professional	26	$30.87	$41.08	$67.50
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $40.00	Facility	26	$28.28	$28.28	$40.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $47.37 / $53.00	Professional		$45.89	$47.37	$53.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $28.77 / $40.00	Professional	26	$27.08	$28.77	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $60.52 / $94.04	Professional		$42.93	$60.52	$94.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $37.13 / $59.28	Professional	26	$28.81	$37.13	$59.28