Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.91 / $86.96 / $210.91	Facility	26	$65.91	$86.96	$210.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $303.77 / $442.88	Professional		$239.03	$303.77	$442.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $263.39 / $522.13	Professional		$253.82	$263.39	$522.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	26	$77.70	$77.70	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.91 / $365.48 / $596.16	Professional		$213.91	$365.48	$596.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $366.01 / $366.01 / $407.73	Professional		$366.01	$366.01	$407.73
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $65.91 / $123.25 / $215.53	Facility	26	$65.91	$123.25	$215.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $303.77 / $522.80	Professional		$239.03	$303.77	$522.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $270.52 / $395.22	Professional		$95.16	$270.52	$395.22
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	26	$77.70	$77.70	$77.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $377.64 / $597.20	Professional		$229.05	$377.64	$597.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $66.84 / $66.84 / $79.50	Facility	26	$66.84	$66.84	$79.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $258.73 / $396.00	Professional		$254.51	$258.73	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $327.91 / $529.50	Professional		$254.48	$327.91	$529.50