Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.18 / $125.00 / $395.00	Facility	26	$43.18	$125.00	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $125.00 / $291.50	Professional	26	$38.72	$125.00	$291.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.49 / $47.49 / $47.49	Professional	26	$47.49	$47.49	$47.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $28.91 / $30.00 / $51.61	Professional	26	$28.91	$30.00	$51.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $34.61 / $57.19	Professional	26	$21.10	$34.61	$57.19
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.89 / $37.89 / $42.10	Professional	26	$37.89	$37.89	$42.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.88 / $43.66 / $54.58	Professional	26	$31.88	$43.66	$54.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $43.18 / $137.50 / $408.75	Facility	26	$43.18	$137.50	$408.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $125.00 / $267.50	Professional	26	$29.78	$125.00	$267.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $36.82 / $57.25	Professional	26	$21.10	$36.82	$57.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.60 / $28.60 / $34.33	Facility	26	$28.60	$28.60	$34.33
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $28.60 / $34.33	Professional	26	$27.93	$28.60	$34.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $34.45 / $57.54	Professional	26	$26.53	$34.45	$57.54