Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.39 / $126.00 / $398.16	Facility	26	$16.39	$126.00	$398.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $370.50 / $475.00	Professional		$47.47	$370.50	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $67.05 / $161.00	Professional	26	$11.88	$67.05	$161.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $17.01 / $22.16	Professional	26	$10.82	$17.01	$22.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $74.44 / $190.81	Professional		$43.85	$74.44	$190.81
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $19.04 / $27.72	Professional	26	$11.74	$19.04	$27.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $78.38 / $146.91	Professional		$41.37	$78.38	$146.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $14.41 / $23.43	Professional	26	$8.41	$14.41	$23.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $70.31 / $196.56	Professional		$53.04	$70.31	$196.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $15.44 / $24.40	Professional	26	$12.84	$15.44	$24.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $91.53 / $93.33	Professional		$89.73	$91.53	$93.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $13.94 / $20.98	Professional	26	$13.01	$13.94	$20.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.39 / $21.72 / $403.20	Facility	26	$16.39	$21.72	$403.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $380.00 / $1,037.00	Professional		$47.95	$380.00	$1,037.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $30.10 / $269.64	Professional	26	$11.88	$30.10	$269.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $97.20 / $129.80	Professional		$19.44	$97.20	$129.80
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $72.25 / $137.30	Professional		$41.50	$72.25	$137.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $14.38 / $23.86	Professional	26	$8.53	$14.38	$23.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $11.62 / $12.00	Facility	26	$11.62	$11.62	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $45.45 / $83.00	Professional		$44.68	$45.45	$83.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $11.62 / $12.04	Professional	26	$11.34	$11.62	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $65.81 / $107.68	Professional		$45.56	$65.81	$107.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $13.65 / $23.73	Professional	26	$10.80	$13.65	$23.73