Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $64.57 / $89.13	Facility	26	$26.92	$64.57	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $269.15	Professional		$93.33	$128.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $24.55 / $81.28	Professional	26	$19.05	$24.55	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $19.05 / $19.95	Professional	26	$6.61	$19.05	$19.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $229.09	Professional		$128.82	$131.83	$229.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $56.23	Professional	26	$22.91	$29.51	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $251.19	Professional		$91.20	$134.90	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.84 / $46.77	Professional	26	$18.20	$28.84	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $223.87	Professional		$141.25	$177.83	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $37.15	Professional	26	$22.91	$30.20	$37.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $269.15	Professional		$69.18	$138.04	$269.15
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $50.12	Professional	26	$19.95	$28.18	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.12 / $26.30	Professional	26	$12.59	$25.12	$26.30
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $61.66 / $83.18	Facility	26	$26.92	$61.66	$83.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $323.59	Professional		$102.33	$144.54	$323.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $61.66	Professional	26	$19.05	$26.92	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $125.89 / $251.19	Professional		$50.12	$125.89	$251.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $26.30	Facility	26	$23.44	$23.44	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $346.74	Professional		$25.12	$69.18	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $23.44 / $26.30	Professional	26	$22.39	$23.44	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $213.80	Professional		$87.10	$128.82	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $43.65	Professional	26	$18.62	$25.12	$43.65