Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.53 / $76.84 / $173.86	Facility	26	$58.53	$76.84	$173.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $206.19 / $460.14	Professional		$172.58	$206.19	$460.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $54.04 / $105.96	Professional	26	$42.60	$54.04	$105.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $45.83 / $50.42	Professional	26	$45.06	$45.83	$50.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $216.01 / $376.01	Professional		$208.15	$216.01	$376.01
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $59.41 / $61.66 / $100.27	Professional	26	$59.41	$61.66	$100.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $240.79 / $411.72	Professional		$149.75	$240.79	$411.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.45 / $63.03 / $107.52	Professional	26	$42.45	$63.03	$107.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $278.02 / $334.03	Professional		$214.04	$278.02	$334.03
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.02 / $78.04 / $123.18	Professional	26	$65.02	$78.04	$123.18
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $64.98 / $68.97	Professional	26	$55.00	$64.98	$68.97
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $58.53 / $84.63 / $187.33	Facility	26	$58.53	$84.63	$187.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $223.39 / $487.59	Professional		$185.64	$223.39	$487.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $47.39 / $59.42 / $109.86	Professional	26	$47.39	$59.42	$109.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $181.20 / $484.40	Professional		$170.00	$181.20	$484.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $32.21 / $68.29 / $68.29	Facility	26	$32.21	$68.29	$68.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $241.88 / $392.32	Professional		$152.94	$241.88	$392.32
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $63.71 / $107.52	Professional	26	$42.72	$63.71	$107.52
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.00 / $59.07 / $59.07	Facility	26	$52.00	$59.07	$59.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $215.56 / $233.52	Professional		$187.00	$215.56	$233.52
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $59.13 / $61.25	Professional	26	$52.00	$59.13	$61.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $228.96 / $413.66	Professional		$144.22	$228.96	$413.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.13 / $64.23 / $116.44	Professional	26	$47.13	$64.23	$116.44