Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.15 / $42.54 / $74.19	Facility	26	$36.15	$42.54	$74.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $113.98 / $212.90	Professional		$96.60	$113.98	$212.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $36.93 / $74.48	Professional	26	$21.42	$36.93	$74.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $72.15 / $72.15	Professional		$72.15	$72.15	$72.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $33.60 / $58.74	Professional	26	$29.02	$33.60	$58.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $124.48 / $195.59	Professional		$116.45	$124.48	$195.59
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $39.70 / $62.00	Professional	26	$38.10	$39.70	$62.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $126.33 / $224.72	Professional		$80.48	$126.33	$224.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $32.15 / $67.01	Professional	26	$22.34	$32.15	$67.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $154.96 / $185.97	Professional		$107.45	$154.96	$185.97
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $50.26 / $79.31	Professional	26	$41.89	$50.26	$79.31
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.15 / $41.87 / $54.53	Professional	26	$30.15	$41.87	$54.53
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $36.15 / $49.09 / $118.41	Facility	26	$36.15	$49.09	$118.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $124.34 / $281.62	Professional		$101.70	$124.34	$281.62
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $39.40 / $77.61	Professional	26	$23.20	$39.40	$77.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $309.00	Professional		$92.70	$92.70	$309.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.28 / $43.62 / $43.62	Facility	26	$15.28	$43.62	$43.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $127.92 / $217.32	Professional		$81.04	$127.92	$217.32
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $32.15 / $67.01	Professional	26	$22.34	$32.15	$67.01
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $25.50 / $37.85 / $37.85	Facility	26	$25.50	$37.85	$37.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $119.41 / $129.02	Professional		$94.00	$119.41	$129.02
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.50 / $37.85 / $39.22	Professional	26	$25.50	$37.85	$39.22
United Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $123.07 / $216.23	Professional		$76.18	$123.07	$216.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $41.11 / $75.69	Professional	26	$23.08	$41.11	$75.69