Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.13 / $53.55 / $114.17	Facility	26	$36.13	$53.55	$114.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $253.73 / $1,408.00	Professional		$166.65	$253.73	$1,408.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $37.07 / $205.00	Professional	26	$32.40	$37.07	$205.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.03 / $30.03 / $54.46	Professional	26	$29.03	$30.03	$54.46
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $254.37 / $338.22 / $539.86	Professional		$254.37	$338.22	$539.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $62.04 / $96.47	Professional	26	$37.60	$62.04	$96.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.88 / $42.88 / $42.88	Facility	26	$42.88	$42.88	$42.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $267.99 / $526.41	Professional		$141.49	$267.99	$526.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $45.78 / $72.01	Professional	26	$26.75	$45.78	$72.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $372.31 / $415.06	Professional		$372.31	$372.31	$415.06
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $49.35 / $55.38	Professional	26	$49.35	$49.35	$55.38
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.01 / $39.15 / $43.07	Professional	26	$37.01	$39.15	$43.07
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $36.13 / $55.67 / $118.15	Facility	26	$36.13	$55.67	$118.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $281.49 / $836.02	Professional		$171.78	$281.49	$836.02
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.25 / $40.20 / $170.80	Professional	26	$33.25	$40.20	$170.80
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $42.88 / $42.88 / $42.88	Facility	26	$42.88	$42.88	$42.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $286.47 / $528.96	Professional		$175.00	$286.47	$528.96
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $47.88 / $73.28	Professional	26	$28.80	$47.88	$73.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.86 / $36.86 / $42.00	Facility	26	$36.86	$36.86	$42.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $260.68 / $284.58	Professional		$170.00	$260.68	$284.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.93 / $36.90 / $42.00	Professional	26	$35.93	$36.90	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $288.64 / $513.52	Professional		$161.91	$288.64	$513.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.14 / $44.90 / $72.03	Professional	26	$35.14	$44.90	$72.03