Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.32 / $29.81 / $71.42	Facility	26	$22.32	$29.81	$71.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $120.37 / $154.06	Professional		$93.04	$120.37	$154.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $21.07 / $38.58	Professional	26	$19.39	$21.07	$38.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $20.04 / $21.03	Professional	26	$17.32	$20.04	$21.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $150.97 / $214.07	Professional		$127.41	$150.97	$214.07
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $22.84 / $38.02 / $56.78	Professional	26	$22.84	$38.02	$56.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $136.09 / $237.85	Professional		$93.17	$136.09	$237.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.69 / $28.97 / $45.36	Professional	26	$17.69	$28.97	$45.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $171.73 / $207.00	Professional		$114.10	$171.73	$207.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.95 / $29.98 / $47.39	Professional	26	$24.95	$29.98	$47.39
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $25.34 / $25.34	Professional	26	$23.95	$25.34	$25.34
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $22.32 / $42.24 / $72.98	Facility	26	$22.32	$42.24	$72.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $130.47 / $235.59	Professional		$101.56	$130.47	$235.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $22.50 / $46.31	Professional	26	$19.39	$22.50	$46.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $126.21 / $241.75	Professional		$33.28	$126.21	$241.75
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.99 / $26.63 / $26.63	Facility	26	$15.99	$26.63	$26.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $136.09 / $233.09	Professional		$93.17	$136.09	$233.09
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $28.94 / $46.99	Professional	26	$17.75	$28.94	$46.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.21 / $23.21 / $26.50	Facility	26	$23.21	$23.21	$26.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $130.69 / $142.41	Professional		$91.50	$130.69	$142.41
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $23.30 / $26.50	Professional	26	$22.53	$23.30	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $132.22 / $219.97	Professional		$88.70	$132.22	$219.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $27.39 / $46.12	Professional	26	$22.01	$27.39	$46.12