Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.04 / $75.37 / $211.88	Facility	26	$67.04	$75.37	$211.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $236.22 / $413.85	Professional		$189.09	$236.22	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $60.67 / $83.00	Professional	26	$51.64	$60.67	$83.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $46.31 / $54.97	Professional	26	$45.08	$46.31	$54.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $200.54 / $200.54	Professional		$193.25	$200.54	$200.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $59.75 / $62.01 / $118.60	Professional	26	$59.75	$62.01	$118.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $376.13 / $668.39	Professional		$184.33	$376.13	$668.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $73.69 / $120.18	Professional	26	$43.83	$73.69	$120.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $309.27 / $989.28	Professional		$233.08	$309.27	$989.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $78.45 / $123.88	Professional	26	$65.37	$78.45	$123.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.12 / $67.19 / $67.61	Professional	26	$63.12	$67.19	$67.61
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $67.04 / $110.49 / $219.25	Facility	26	$67.04	$110.49	$219.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $255.23 / $528.54	Professional		$193.16	$255.23	$528.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $64.69 / $111.30	Professional	26	$55.00	$64.69	$111.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $200.40 / $366.92	Professional		$72.48	$200.40	$366.92
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.83 / $68.70 / $68.70	Facility	26	$41.83	$68.70	$68.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $358.41 / $649.30	Professional		$191.42	$358.41	$649.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.27 / $72.90 / $122.65	Professional	26	$46.27	$72.90	$122.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $59.41 / $59.41 / $68.00	Facility	26	$59.41	$59.41	$68.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.01 / $196.93 / $406.50	Professional		$194.01	$196.93	$406.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $57.87 / $59.47 / $68.00	Professional	26	$57.87	$59.47	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $288.69 / $487.60	Professional		$199.86	$288.69	$487.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $71.45 / $117.73	Professional	26	$56.37	$71.45	$117.73