Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.74 / $120.18 / $293.57	Facility	26	$91.74	$120.18	$293.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $161.66 / $327.41	Professional		$132.47	$161.66	$327.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $84.12 / $197.00	Professional	26	$77.63	$84.12	$197.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $250.00 / $994.51	Professional		$153.74	$250.00	$994.51
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $93.04 / $139.35 / $212.05	Professional	26	$93.04	$139.35	$212.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $281.81 / $679.02	Professional		$127.39	$281.81	$679.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.04 / $110.46 / $174.99	Professional	26	$69.04	$110.46	$174.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.24 / $234.39 / $508.50	Professional		$181.24	$234.39	$508.50
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.34 / $121.34 / $191.09	Professional	26	$102.34	$121.34	$191.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.66 / $166.66 / $176.30	Professional		$166.66	$166.66	$176.30
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $91.74 / $164.24 / $299.99	Facility	26	$91.74	$164.24	$299.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $201.74 / $527.19	Professional		$137.84	$201.74	$527.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $91.74 / $207.51	Professional	26	$77.76	$91.74	$207.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.20 / $742.40 / $797.00	Professional		$341.20	$742.40	$797.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $60.21 / $106.81 / $106.81	Facility	26	$60.21	$106.81	$106.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $272.42 / $661.79	Professional		$128.84	$272.42	$661.79
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.55 / $110.46 / $174.86	Professional	26	$68.55	$110.46	$174.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $91.62 / $91.62 / $142.00	Facility	26	$91.62	$91.62	$142.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $152.63 / $590.38	Professional		$149.33	$152.63	$590.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $88.65 / $92.29 / $142.00	Professional	26	$88.65	$92.29	$142.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $217.58 / $521.36	Professional		$151.76	$217.58	$521.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.95 / $108.22 / $182.74	Professional	26	$85.95	$108.22	$182.74