Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $19.27 / $46.27	Facility	26	$14.46	$19.27	$46.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $84.31 / $112.50	Professional		$62.82	$84.31	$112.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $13.37 / $17.59	Professional	26	$12.53	$13.37	$17.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $102.42 / $156.51	Professional		$98.70	$102.42	$156.51
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $15.68 / $30.14	Professional	26	$15.10	$15.68	$30.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $97.76 / $168.80	Professional		$68.12	$97.76	$168.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $18.61 / $29.37	Professional	26	$11.79	$18.61	$29.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $133.37 / $160.91	Professional		$86.75	$133.37	$160.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.80 / $31.24	Professional	26	$16.55	$19.80	$31.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.85 / $148.85 / $148.85	Professional	26	$148.85	$148.85	$148.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $27.04 / $47.28	Facility	26	$14.46	$27.04	$47.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $94.00 / $182.50	Professional		$77.77	$94.00	$182.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $14.46 / $28.13	Professional	26	$12.55	$14.46	$28.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $179.60	Professional		$82.60	$82.60	$179.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $17.36 / $17.36	Facility	26	$10.23	$17.36	$17.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $97.76 / $165.15	Professional		$68.12	$97.76	$165.15
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $18.52 / $29.80	Professional	26	$11.79	$18.52	$29.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.62 / $14.62 / $17.50	Facility	26	$14.62	$14.62	$17.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $95.55 / $104.23	Professional		$67.50	$95.55	$104.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.22 / $14.65 / $17.50	Professional	26	$14.22	$14.65	$17.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $93.11 / $160.58	Professional		$64.55	$93.11	$160.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.45 / $16.68 / $27.62	Professional	26	$13.45	$16.68	$27.62