Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.05 / $301.73 / $673.75	Facility	26	$193.05	$301.73	$673.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.83 / $580.76 / $1,029.33	Professional		$483.83	$580.76	$1,029.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.88 / $190.39 / $318.74	Professional	26	$164.88	$190.39	$318.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $480.20 / $480.20 / $480.20	Professional		$480.20	$480.20	$480.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $152.30 / $152.30 / $193.65	Professional	26	$152.30	$152.30	$193.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $919.57 / $1,069.34	Professional		$593.37	$919.57	$1,069.34
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $201.79 / $315.45 / $363.00	Professional	26	$201.79	$315.45	$363.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.61 / $721.92 / $1,118.25	Professional		$498.61	$721.92	$1,118.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.79 / $242.90 / $382.46	Professional	26	$158.79	$242.90	$382.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.99 / $807.99 / $951.71	Professional		$691.99	$807.99	$951.71
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.03 / $269.20 / $300.48	Professional	26	$223.03	$269.20	$300.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.65 / $733.65 / $733.65	Professional		$733.65	$733.65	$733.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $205.49 / $237.71 / $362.71	Professional	26	$205.49	$237.71	$362.71
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $193.05 / $371.46 / $762.55	Facility	26	$193.05	$371.46	$762.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $512.63 / $628.17 / $1,276.40	Professional		$512.63	$628.17	$1,276.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $174.37 / $199.84 / $568.47	Professional	26	$174.37	$199.84	$568.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $649.10 / $1,142.42	Professional		$300.66	$649.10	$1,142.42
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $499.95 / $727.72 / $1,194.30	Professional		$499.95	$727.72	$1,194.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.35 / $243.82 / $387.34	Professional	26	$169.35	$243.82	$387.34
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $196.59 / $196.59 / $214.20	Facility	26	$196.59	$196.59	$214.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $568.08 / $576.53 / $628.44	Professional		$568.08	$576.53	$628.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $192.12 / $196.59 / $214.20	Professional	26	$192.12	$196.59	$214.20
United Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $670.08 / $1,101.44	Professional		$524.41	$670.08	$1,101.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $181.35 / $237.08 / $380.90	Professional	26	$181.35	$237.08	$380.90