Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $446.89 / $682.70 / $1,520.35	Facility	26	$446.89	$682.70	$1,520.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.31 / $831.40 / $1,616.86	Professional		$736.31	$831.40	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $388.09 / $521.64 / $1,058.38	Professional	26	$388.09	$521.64	$1,058.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $913.80 / $948.29 / $1,478.56	Professional		$913.80	$948.29	$1,478.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $465.34 / $482.90 / $827.20	Professional	26	$465.34	$482.90	$827.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.69 / $1,013.68 / $1,635.60	Professional		$746.69	$1,013.68	$1,635.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $391.56 / $618.52 / $915.97	Professional	26	$391.56	$618.52	$915.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $913.89 / $1,177.27 / $1,439.64	Professional		$913.89	$1,177.27	$1,439.64
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $514.28 / $620.55 / $693.09	Professional	26	$514.28	$620.55	$693.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $548.26 / $566.63 / $637.86	Professional	26	$548.26	$566.63	$637.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $446.89 / $835.68 / $1,765.22	Facility	26	$446.89	$835.68	$1,765.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $896.00 / $1,689.68	Professional		$740.75	$896.00	$1,689.68
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $404.09 / $546.23 / $1,058.38	Professional	26	$404.09	$546.23	$1,058.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $651.48 / $942.20 / $1,760.64	Professional		$651.48	$942.20	$1,760.64
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $759.23 / $1,044.65 / $1,703.31	Professional		$759.23	$1,044.65	$1,703.31
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $399.39 / $640.26 / $982.33	Professional	26	$399.39	$640.26	$982.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $452.12 / $452.12 / $629.49	Facility	26	$452.12	$452.12	$629.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $740.82 / $881.01 / $943.51	Professional		$740.82	$881.01	$943.51
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $450.81 / $461.16 / $629.49	Professional	26	$450.81	$461.16	$629.49
United Facility/Professional Professional Modifier Low / Median / High Price $763.07 / $953.70 / $1,620.79	Professional		$763.07	$953.70	$1,620.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $418.42 / $563.47 / $878.82	Professional	26	$418.42	$563.47	$878.82