Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $45.71 / $89.13	Facility	26	$22.91	$45.71	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $229.09	Professional		$56.23	$95.50	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $38.02 / $95.50	Professional	26	$19.95	$38.02	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $37.15	Professional	26	$19.05	$23.99	$37.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $245.47	Professional		$75.86	$87.10	$245.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.70 / $42.66	Professional	26	$24.55	$25.70	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $208.93	Professional		$69.18	$128.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $46.77	Professional	26	$16.60	$23.99	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $138.04	Professional		$85.11	$109.65	$138.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $39.81	Professional	26	$25.12	$33.11	$39.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $223.87	Professional		$83.18	$112.20	$223.87
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $26.30 / $52.48	Professional	26	$14.79	$26.30	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $26.92 / $36.31	Professional	26	$24.55	$26.92	$36.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $38.02 / $79.43	Facility	26	$22.91	$38.02	$79.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $275.42	Professional		$64.57	$112.20	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $31.62 / $64.57	Professional	26	$18.20	$31.62	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $147.91 / $158.49	Professional		$45.71	$147.91	$158.49
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $23.99	Facility	26	$19.50	$19.50	$23.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $91.20	Professional		$15.14	$54.95	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.99 / $24.55	Professional	26	$19.50	$23.99	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $162.18	Professional		$64.57	$95.50	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $43.65	Professional	26	$16.60	$25.12	$43.65