Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.63 / $126.00 / $403.20	Facility	26	$96.63	$126.00	$403.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $709.39	Professional		$400.00	$425.00	$709.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $126.00 / $183.07	Professional	26	$70.02	$126.00	$183.07
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $400.10 / $415.20 / $571.41	Professional		$400.10	$415.20	$571.41
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $70.50 / $100.35 / $140.26	Professional	26	$70.50	$100.35	$140.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $579.12 / $823.76	Professional		$337.77	$579.12	$823.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $92.65 / $147.32	Professional	26	$57.91	$92.65	$147.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.02 / $630.03 / $649.00	Professional		$490.02	$630.03	$649.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $103.05 / $103.05	Professional	26	$78.86	$103.05	$103.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $96.63 / $138.60 / $412.02	Facility	26	$96.63	$138.60	$412.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $501.94 / $1,192.00	Professional		$402.08	$501.94	$1,192.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $126.00 / $198.93	Professional	26	$70.02	$126.00	$198.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $766.50 / $1,179.00	Professional		$700.00	$766.50	$1,179.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $579.12 / $882.32	Professional		$389.18	$579.12	$882.32
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.39 / $94.24 / $153.61	Professional	26	$67.39	$94.24	$153.61
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.42 / $69.42 / $82.00	Facility	26	$69.42	$69.42	$82.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $402.37 / $409.91 / $515.00	Professional		$402.37	$409.91	$515.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.67 / $69.42 / $82.00	Professional	26	$67.67	$69.42	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.72 / $496.41 / $836.10	Professional		$390.72	$496.41	$836.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $83.48 / $135.47	Professional	26	$66.11	$83.48	$135.47