Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.71 / $120.99 / $278.33	Facility	26	$93.71	$120.99	$278.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $317.92 / $1,182.11	Professional		$238.77	$317.92	$1,182.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $90.49 / $250.95	Professional	26	$75.56	$90.49	$250.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $74.70 / $130.43	Professional	26	$64.42	$74.70	$130.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $259.75 / $269.56 / $269.56	Professional		$259.75	$269.56	$269.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $84.94 / $137.61 / $210.09	Professional	26	$84.94	$137.61	$210.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $470.19 / $820.58	Professional		$257.77	$470.19	$820.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.37 / $103.51 / $168.10	Professional	26	$61.37	$103.51	$168.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $415.38 / $1,164.11	Professional		$312.89	$415.38	$1,164.11
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.00 / $111.43 / $175.89	Professional	26	$93.00	$111.43	$175.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.15 / $101.91 / $117.90	Professional	26	$94.15	$101.91	$117.90
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $85.33 / $126.85 / $299.89	Facility	26	$85.33	$126.85	$299.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $340.62 / $957.00	Professional		$243.91	$340.62	$957.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $108.17 / $250.95	Professional	26	$79.56	$108.17	$250.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $325.00 / $685.42	Professional		$148.94	$325.00	$685.42
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $59.23 / $96.97 / $96.97	Facility	26	$59.23	$96.97	$96.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $462.00 / $820.10	Professional		$275.63	$462.00	$820.10
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.11 / $101.85 / $173.17	Professional	26	$64.11	$101.85	$173.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $84.01 / $84.01 / $93.41	Facility	26	$84.01	$84.01	$93.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $253.13 / $346.84	Professional		$248.67	$253.13	$346.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $81.81 / $84.10 / $93.41	Professional	26	$81.81	$84.10	$93.41
United Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $395.84 / $635.54	Professional		$285.00	$395.84	$635.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $95.95 / $166.55	Professional	26	$77.92	$95.95	$166.55