Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.00 / $126.00 / $398.16	Facility	26	$109.00	$126.00	$398.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $402.08 / $475.00	Professional		$340.71	$402.08	$475.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $198.28 / $216.87	Professional		$198.28	$198.28	$216.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $322.83 / $335.03 / $713.58	Professional		$322.83	$335.03	$713.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.57 / $586.71 / $1,010.87	Professional		$304.57	$586.71	$1,010.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $520.67 / $1,466.01	Professional		$391.83	$520.67	$1,466.01
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $107.64 / $126.00 / $403.20	Facility	26	$107.64	$126.00	$403.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $425.00 / $1,192.00	Professional		$345.08	$425.00	$1,192.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $390.85 / $700.00	Professional		$106.84	$390.85	$700.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.26 / $87.95 / $87.95	Facility	26	$53.26	$87.95	$87.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $554.79 / $999.95	Professional		$319.80	$554.79	$999.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $76.01 / $76.01 / $89.00	Facility	26	$76.01	$76.01	$89.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.79 / $333.33 / $589.00	Professional		$327.79	$333.33	$589.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.56 / $479.27 / $781.20	Professional		$337.56	$479.27	$781.20