Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.85 / $30.04 / $48.84	Facility	26	$22.85	$30.04	$48.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $93.24 / $272.70	Professional		$63.39	$93.24	$272.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $29.09 / $93.24	Professional	26	$16.71	$29.09	$93.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $25.37 / $40.36	Professional	26	$18.84	$25.37	$40.36
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $109.62 / $244.26	Professional		$75.67	$109.62	$244.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $32.02 / $42.30	Professional	26	$24.51	$32.02	$42.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $130.49 / $206.78	Professional		$70.48	$130.49	$206.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.21 / $23.84 / $43.46	Professional	26	$16.21	$23.84	$43.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $117.49 / $159.46	Professional		$91.15	$117.49	$159.46
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $32.21 / $50.89	Professional	26	$26.78	$32.21	$50.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $26.44 / $39.22	Professional	26	$21.15	$26.44	$39.22
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $22.85 / $34.90 / $75.62	Facility	26	$22.85	$34.90	$75.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $100.15 / $274.16	Professional		$66.56	$100.15	$274.16
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $30.78 / $90.10	Professional	26	$18.05	$30.78	$90.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $104.10 / $182.70	Professional		$35.67	$104.10	$182.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.98 / $27.80 / $27.80	Facility	26	$11.98	$27.80	$27.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $129.08 / $208.19	Professional		$70.48	$129.08	$208.19
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $23.74 / $41.90	Professional	26	$16.84	$23.74	$41.90
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $23.93 / $23.93	Facility	26	$19.50	$23.93	$23.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $74.19 / $120.00	Professional		$73.09	$74.19	$120.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.93 / $24.77	Professional	26	$19.50	$23.93	$24.77
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $97.59 / $166.46	Professional		$66.12	$97.59	$166.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $25.98 / $47.00	Professional	26	$18.30	$25.98	$47.00