Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.84 / $72.14 / $153.63	Facility	26	$54.84	$72.14	$153.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $148.03 / $599.00	Professional		$104.23	$148.03	$599.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $102.10 / $170.47	Professional		$83.00	$102.10	$170.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $165.59 / $272.95	Professional		$152.49	$165.59	$272.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $149.35 / $219.45	Professional		$111.01	$149.35	$219.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $151.38 / $238.93	Professional		$93.45	$151.38	$238.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $155.74 / $333.40	Professional		$131.26	$155.74	$333.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $147.52 / $237.30	Professional		$127.42	$147.52	$237.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $158.59 / $272.95	Professional		$149.90	$158.59	$272.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $54.84 / $84.19 / $175.49	Facility	26	$54.84	$84.19	$175.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $169.83 / $587.27	Professional		$107.03	$169.83	$587.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $111.10 / $209.46	Professional		$55.05	$111.10	$209.46
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $150.50 / $229.61	Professional		$95.15	$150.50	$229.61
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $55.76 / $55.76 / $59.35	Facility	26	$55.76	$55.76	$59.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $113.92 / $122.50	Professional		$112.31	$113.92	$122.50
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $131.19 / $223.77	Professional		$97.89	$131.19	$223.77