Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.11 / $22.49 / $52.03	Facility	26	$17.11	$22.49	$52.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $86.83 / $379.32	Professional		$71.84	$86.83	$379.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $86.08 / $86.08	Professional		$86.08	$86.08	$86.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $142.02 / $142.02	Professional		$142.02	$142.02	$142.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $117.31 / $150.52	Professional		$87.09	$117.31	$150.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $95.29 / $166.82	Professional		$67.27	$95.29	$166.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $117.14 / $141.11	Professional		$86.78	$117.14	$141.11
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $142.02 / $142.02	Professional		$142.02	$142.02	$142.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.11 / $26.99 / $56.83	Facility	26	$17.11	$26.99	$56.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $99.65 / $231.87	Professional		$78.15	$99.65	$231.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $86.90 / $169.40	Professional		$29.85	$86.90	$169.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $12.69 / $20.81 / $20.81	Facility	26	$12.69	$20.81	$20.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $94.48 / $158.41	Professional		$67.84	$94.48	$158.41
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $17.92 / $20.50	Facility	26	$17.92	$17.92	$20.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $91.89 / $100.02	Professional		$70.50	$91.89	$100.02
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $92.34 / $164.99	Professional		$67.73	$92.34	$164.99