Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.87 / $36.51 / $89.18	Facility	26	$27.87	$36.51	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $130.13 / $151.71	Professional		$101.91	$130.13	$151.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $27.12 / $40.72	Professional	26	$21.98	$27.12	$40.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $23.97 / $23.97	Professional	26	$23.97	$23.97	$23.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $108.06 / $208.35	Professional		$104.13	$108.06	$208.35
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $31.55 / $52.97	Professional	26	$30.40	$31.55	$52.97
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $208.27 / $216.13 / $416.69	Professional	50	$208.27	$216.13	$416.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $149.53 / $249.30	Professional		$88.29	$149.53	$249.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.50 / $34.14 / $55.74	Professional	26	$21.50	$34.14	$55.74
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $187.81 / $187.81	Professional	50	$164.71	$187.81	$187.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $152.63 / $186.02	Professional		$126.26	$152.63	$186.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $40.21 / $62.68	Professional	26	$33.71	$40.21	$62.68
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.42 / $33.42 / $33.42	Professional	26	$33.42	$33.42	$33.42
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $27.87 / $52.12 / $91.13	Facility	26	$27.87	$52.12	$91.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $136.72 / $210.88	Professional		$105.79	$136.72	$210.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $27.89 / $63.41	Professional	26	$23.78	$27.89	$63.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $110.46 / $196.48	Professional		$34.53	$110.46	$196.48
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $34.86 / $34.86	Facility	26	$17.71	$34.86	$34.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $148.44 / $249.30	Professional		$88.29	$148.44	$249.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.64 / $33.75 / $55.74	Professional	26	$21.64	$33.75	$55.74
Priority Health Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $187.81 / $199.14	Professional	50	$164.71	$187.81	$199.14
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.74 / $29.74	Facility	26	$29.00	$29.74	$29.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $122.68 / $133.31	Professional		$120.79	$122.68	$133.31
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $29.88 / $30.99	Professional	26	$28.85	$29.88	$30.99
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $137.69 / $235.99	Professional		$107.19	$137.69	$235.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $31.90 / $54.31	Professional	26	$25.32	$31.90	$54.31