Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.87 / $36.64 / $92.70	Facility	26	$27.87	$36.64	$92.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $192.57 / $371.60	Professional		$159.55	$192.57	$371.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $29.05 / $130.81	Professional	26	$25.12	$29.05	$130.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $23.78 / $27.34	Professional	26	$22.53	$23.78	$27.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $213.28 / $415.39	Professional		$194.80	$213.28	$415.39
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $49.19 / $72.77	Professional	26	$29.20	$49.19	$72.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Facility	26	$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $206.75 / $372.87	Professional		$132.22	$206.75	$372.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $35.81 / $55.76	Professional	26	$21.30	$35.81	$55.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $285.08 / $317.74	Professional		$285.08	$285.08	$317.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.35 / $38.35 / $42.99	Professional	26	$38.35	$38.35	$42.99
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.93 / $30.93 / $30.93	Professional	26	$30.93	$30.93	$30.93
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $27.87 / $44.03 / $94.73	Facility	26	$27.87	$44.03	$94.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $207.18 / $371.60	Professional		$173.15	$207.18	$371.60
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.67 / $29.74 / $74.87	Professional	26	$25.67	$29.74	$74.87
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Facility	26	$33.22	$33.22	$33.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $219.38 / $374.89	Professional		$139.13	$219.38	$374.89
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $36.29 / $58.76	Professional	26	$22.74	$36.29	$58.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $29.19 / $29.19 / $33.50	Facility	26	$29.19	$29.19	$33.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $202.10 / $220.64	Professional		$156.50	$202.10	$220.64
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $29.25 / $33.50	Professional	26	$28.40	$29.25	$33.50
United Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $236.75 / $422.09	Professional		$148.61	$236.75	$422.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $35.86 / $58.96	Professional	26	$28.07	$35.86	$58.96