Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.25 / $58.50 / $144.41	Facility	26	$47.25	$58.50	$144.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $135.12 / $347.37	Professional		$99.73	$135.12	$347.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $88.91 / $177.78	Professional		$86.50	$88.91	$177.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $163.53 / $256.56	Professional		$146.34	$163.53	$256.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $182.78 / $260.58	Professional		$115.77	$182.78	$260.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $145.18 / $229.30	Professional		$95.54	$145.18	$229.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $163.84 / $351.70	Professional		$138.15	$163.84	$351.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $150.37 / $203.93	Professional		$130.72	$150.37	$203.93
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $156.58 / $256.56	Professional		$143.93	$156.58	$256.56
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $47.25 / $70.75 / $154.68	Facility	26	$47.25	$70.75	$154.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $159.61 / $341.07	Professional		$100.99	$159.61	$341.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $118.46 / $230.50	Professional		$52.74	$118.46	$230.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $143.03 / $229.30	Professional		$95.54	$143.03	$229.30
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.77 / $49.77 / $59.00	Facility	26	$49.77	$49.77	$59.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $112.99 / $124.00	Professional		$111.41	$112.99	$124.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $127.89 / $212.25	Professional		$94.21	$127.89	$212.25