Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.17 / $52.06 / $125.34	Facility	26	$39.17	$52.06	$125.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $104.38 / $146.02	Professional		$91.87	$104.38	$146.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.68 / $37.68 / $53.02	Professional	26	$32.68	$37.68	$53.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $111.66 / $175.47	Professional		$107.60	$111.66	$175.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $64.14 / $97.92	Professional	26	$39.58	$64.14	$97.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $155.33 / $375.84	Professional		$88.26	$155.33	$375.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $50.20 / $79.70	Professional	26	$30.69	$50.20	$79.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $153.43 / $273.81	Professional		$129.16	$153.43	$273.81
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.36 / $52.06 / $82.08	Professional	26	$43.36	$52.06	$82.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $45.64 / $45.65	Professional	26	$45.64	$45.64	$45.65
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $39.17 / $73.19 / $128.09	Facility	26	$39.17	$73.19	$128.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $113.22 / $243.76	Professional		$93.10	$113.22	$243.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.17 / $73.19	Professional	26	$33.88	$39.17	$73.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $103.14 / $429.10	Professional		$41.96	$103.14	$429.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.88 / $45.12 / $45.12	Facility	26	$27.88	$45.12	$45.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $153.51 / $373.28	Professional		$88.61	$153.51	$373.28
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $49.31 / $80.13	Professional	26	$31.19	$49.31	$80.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $39.15 / $39.15 / $45.00	Facility	26	$39.15	$39.15	$45.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $107.12 / $346.00	Professional		$105.65	$107.12	$346.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $38.18 / $39.15 / $45.00	Professional	26	$38.18	$39.15	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $137.06 / $299.27	Professional		$95.74	$137.06	$299.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $46.22 / $79.55	Professional	26	$37.68	$46.22	$79.55