Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $395.00	Facility	26	$125.00	$125.00	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $267.50	Professional	26	$90.00	$125.00	$267.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $125.63 / $142.96	Professional	26	$69.69	$125.63	$142.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $87.07 / $90.35 / $153.77	Professional	26	$87.07	$90.35	$153.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.80 / $99.80 / $99.80	Facility	26	$99.80	$99.80	$99.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.96 / $104.24 / $170.63	Professional	26	$62.96	$104.24	$170.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.15 / $114.15 / $126.45	Professional	26	$114.15	$114.15	$126.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.78 / $106.46 / $162.44	Professional	26	$96.78	$106.46	$162.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $160.99 / $408.75	Facility	26	$125.00	$160.99	$408.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.87 / $125.00 / $267.50	Professional	26	$89.87	$125.00	$267.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $99.80 / $99.80 / $99.80	Facility	26	$99.80	$99.80	$99.80
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.33 / $110.78 / $173.00	Professional	26	$63.33	$110.78	$173.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $86.15 / $86.15 / $102.28	Facility	26	$86.15	$86.15	$102.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $84.12 / $86.15 / $102.28	Professional	26	$84.12	$86.15	$102.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.04 / $112.69 / $183.58	Professional	26	$79.04	$112.69	$183.58