Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.08 / $84.16 / $205.06	Facility	26	$64.08	$84.16	$205.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $104.87 / $158.15	Professional		$76.81	$104.87	$158.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $64.08 / $127.02	Professional	26	$55.54	$64.08	$127.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $131.83 / $164.95	Professional		$94.26	$131.83	$164.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $67.55 / $94.83 / $123.17	Professional	26	$67.55	$94.83	$123.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $141.37 / $287.85	Professional		$88.92	$141.37	$287.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $86.84 / $131.85	Professional	26	$55.22	$86.84	$131.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $140.78 / $143.94	Professional		$109.49	$140.78	$143.94
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.06 / $99.49 / $99.49	Professional	26	$76.06	$99.49	$99.49
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.08 / $119.83 / $209.54	Facility	26	$64.08	$119.83	$209.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $114.67 / $174.28	Professional		$81.39	$114.67	$174.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $73.39 / $174.19	Professional	26	$58.95	$73.39	$174.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $361.90 / $503.00	Professional		$159.40	$361.90	$503.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $142.58 / $293.60	Professional		$92.44	$142.58	$293.60
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.73 / $87.87 / $135.35	Professional	26	$63.73	$87.87	$135.35
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $65.61 / $65.61 / $91.00	Facility	26	$65.61	$65.61	$91.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $91.21 / $304.50	Professional		$89.59	$91.21	$304.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $64.17 / $65.61 / $91.00	Professional	26	$64.17	$65.61	$91.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $120.08 / $224.37	Professional		$78.51	$120.08	$224.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $72.78 / $126.43	Professional	26	$54.68	$72.78	$126.43