Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.69 / $25.95 / $63.01	Facility	26	$19.69	$25.95	$63.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $174.55 / $299.43	Professional		$148.36	$174.55	$299.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $174.31 / $340.24	Professional		$167.97	$174.31	$340.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $22.86	Facility	26	$22.86	$22.86	$22.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $195.38 / $331.72	Professional		$119.13	$195.38	$331.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $246.53 / $275.19	Professional		$246.53	$246.53	$275.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $19.69 / $36.82 / $64.39	Facility	26	$19.69	$36.82	$64.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $189.42 / $343.86	Professional		$156.50	$189.42	$343.86
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $22.86	Facility	26	$22.86	$22.86	$22.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $204.16 / $337.87	Professional		$123.51	$204.16	$337.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $23.50	Facility	26	$19.95	$19.95	$23.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $170.41 / $186.29	Professional		$159.00	$170.41	$186.29
United Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $197.05 / $331.09	Professional		$142.94	$197.05	$331.09