Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.84 / $46.53 / $46.53	Facility	26	$41.84	$46.53	$46.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $87.67 / $179.97	Professional		$74.04	$87.67	$179.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $46.53 / $110.69	Professional	26	$39.14	$46.53	$110.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $89.31 / $143.33	Professional		$75.91	$89.31	$143.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $40.59 / $64.68 / $89.60	Professional	26	$40.59	$64.68	$89.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $121.23 / $177.79	Professional		$88.87	$121.23	$177.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.42 / $63.67 / $98.60	Professional	26	$46.42	$63.67	$98.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $143.93 / $143.93	Professional		$107.24	$143.93	$143.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.17 / $77.39 / $77.39	Professional	26	$57.17	$77.39	$77.39
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.53 / $46.53 / $46.53	Facility	26	$46.53	$46.53	$46.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $100.49 / $234.24	Professional		$74.76	$100.49	$234.24
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $65.54 / $115.87	Professional	26	$40.29	$65.54	$115.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $104.50 / $214.30	Professional		$10.00	$104.50	$214.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $116.35 / $193.20	Professional		$88.87	$116.35	$193.20
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.42 / $62.66 / $105.21	Professional	26	$46.42	$62.66	$105.21
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $42.29 / $44.75 / $44.75	Facility	26	$42.29	$44.75	$44.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $81.52 / $94.42	Professional		$78.54	$81.52	$94.42
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $42.29 / $44.75 / $47.23	Professional	26	$42.29	$44.75	$47.23
United Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $112.81 / $168.00	Professional		$82.41	$112.81	$168.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.88 / $62.91 / $92.54	Professional	26	$46.88	$62.91	$92.54