Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.63 / $87.29 / $213.22	Facility	26	$66.63	$87.29	$213.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $216.23 / $384.01	Professional		$189.71	$216.23	$384.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $61.24 / $84.13	Professional	26	$51.94	$61.24	$84.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $105.68 / $211.36	Professional		$105.68	$105.68	$211.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $46.33 / $46.33	Professional	26	$45.31	$46.33	$46.33
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $202.84 / $202.84	Professional		$195.46	$202.84	$202.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $60.07 / $62.34 / $118.60	Professional	26	$60.07	$62.34	$118.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $377.98 / $670.23	Professional		$186.41	$377.98	$670.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.61 / $73.69 / $119.54	Professional	26	$43.61	$73.69	$119.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $312.95 / $986.61	Professional		$235.84	$312.95	$986.61
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.76 / $78.94 / $124.56	Professional	26	$65.76	$78.94	$124.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $71.94 / $76.83	Professional	26	$67.14	$71.94	$76.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $66.63 / $111.07 / $217.88	Facility	26	$66.63	$111.07	$217.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $248.94 / $662.62	Professional		$189.71	$248.94	$662.62
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.63 / $153.43	Professional	26	$55.00	$66.63	$153.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $202.11 / $370.60	Professional		$72.90	$202.11	$370.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.83 / $69.05 / $69.05	Facility	26	$41.83	$69.05	$69.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $361.86 / $649.30	Professional		$193.62	$361.86	$649.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.80 / $72.97 / $122.65	Professional	26	$45.80	$72.97	$122.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $59.73 / $59.73 / $68.00	Facility	26	$59.73	$59.73	$68.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.86 / $198.83 / $406.50	Professional		$195.86	$198.83	$406.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $59.77 / $68.00	Professional	26	$58.18	$59.77	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $293.25 / $473.34	Professional		$200.17	$293.25	$473.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.38 / $70.78 / $120.62	Professional	26	$56.38	$70.78	$120.62