Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.49 / $38.90 / $96.69	Facility	26	$32.49	$38.90	$96.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $96.53 / $364.98	Professional		$73.53	$96.53	$364.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $129.11 / $157.83	Professional		$82.55	$129.11	$157.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $146.93 / $194.48	Professional		$114.90	$146.93	$194.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $139.58 / $168.35	Professional		$85.34	$139.58	$168.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $116.66 / $180.84	Professional		$71.48	$116.66	$180.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $121.40 / $260.27	Professional		$102.18	$121.40	$260.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $114.28 / $164.55	Professional		$98.41	$114.28	$164.55
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $146.93 / $194.48	Professional		$114.90	$146.93	$194.48
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $32.49 / $51.66 / $103.97	Facility	26	$32.49	$51.66	$103.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $114.32 / $287.39	Professional		$77.91	$114.32	$287.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $92.43 / $170.20	Professional		$35.29	$92.43	$170.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $116.02 / $173.98	Professional		$72.06	$116.02	$173.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.86 / $32.86 / $37.50	Facility	26	$32.86	$32.86	$37.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $85.66 / $99.00	Professional		$84.45	$85.66	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $98.68 / $162.08	Professional		$74.25	$98.68	$162.08