Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.03 / $83.88 / $204.90	Facility	26	$64.03	$83.88	$204.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $267.55 / $444.79	Professional		$213.49	$267.55	$444.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $58.30 / $132.09	Professional	26	$51.30	$58.30	$132.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $43.93 / $52.56	Professional	26	$43.04	$43.93	$52.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $240.98 / $490.71	Professional		$232.21	$240.98	$490.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $57.08 / $59.24 / $114.02	Professional	26	$57.08	$59.24	$114.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $383.92 / $658.68	Professional		$215.40	$383.92	$658.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $70.31 / $114.76	Professional	26	$41.89	$70.31	$114.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $374.20 / $937.64	Professional		$281.58	$374.20	$937.64
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.38 / $74.95 / $118.47	Professional	26	$62.38	$74.95	$118.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $287.33 / $287.33	Professional		$287.33	$287.33	$287.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.28 / $71.03 / $93.60	Professional	26	$60.28	$71.03	$93.60
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.03 / $105.55 / $209.38	Facility	26	$64.03	$105.55	$209.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $287.89 / $729.63	Professional		$218.08	$287.89	$729.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $63.22 / $154.79	Professional	26	$52.46	$63.22	$154.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $325.00 / $582.99	Professional		$100.60	$325.00	$582.99
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $40.17 / $65.64 / $65.64	Facility	26	$40.17	$65.64	$65.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $381.44 / $635.74	Professional		$227.46	$381.44	$635.74
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $70.01 / $117.89	Professional	26	$43.38	$70.01	$117.89
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $57.10 / $57.10 / $65.50	Facility	26	$57.10	$57.10	$65.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $227.36 / $349.50	Professional		$221.62	$227.36	$349.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $57.10 / $65.50	Professional	26	$55.65	$57.10	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $240.55 / $317.74 / $527.71	Professional		$240.55	$317.74	$527.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $68.04 / $116.66	Professional	26	$53.46	$68.04	$116.66