Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.53 / $28.09 / $71.81	Facility	26	$19.53	$28.09	$71.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $46.03 / $97.23	Professional		$37.90	$46.03	$97.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $21.44 / $36.70	Professional	26	$17.93	$21.44	$36.70
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $64.81 / $140.38	Professional		$45.50	$64.81	$140.38
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $22.29 / $28.61 / $57.20	Professional	26	$22.29	$28.61	$57.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $79.53 / $129.12	Professional		$42.92	$79.53	$129.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $33.04 / $52.93	Professional	26	$18.14	$33.04	$52.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $71.42 / $110.36	Professional		$54.40	$71.42	$110.36
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.58 / $32.56 / $50.94	Professional	26	$25.58	$32.56	$50.94
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $21.44 / $40.09 / $77.58	Facility	26	$21.44	$40.09	$77.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $55.12 / $100.78	Professional		$38.08	$55.12	$100.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $23.75 / $44.04	Professional	26	$18.71	$23.75	$44.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $92.30 / $160.00	Professional		$91.20	$92.30	$160.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $78.26 / $129.12	Professional		$42.92	$78.26	$129.12
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $32.59 / $51.21	Professional	26	$18.82	$32.59	$51.21
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $21.77 / $21.77 / $29.21	Facility	26	$21.77	$21.77	$29.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $44.84 / $92.60	Professional		$44.24	$44.84	$92.60
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $21.77 / $29.21	Professional	26	$21.34	$21.77	$29.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $57.44 / $98.68	Professional		$42.92	$57.44	$98.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.45 / $26.34 / $43.03	Professional	26	$20.45	$26.34	$43.03