Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $163.75 / $400.00	Facility	26	$125.00	$163.75	$400.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $291.50	Professional	26	$90.00	$125.00	$291.50
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $83.01 / $86.14 / $163.58	Professional	26	$83.01	$86.14	$163.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.81 / $95.81 / $95.81	Facility	26	$95.81	$95.81	$95.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $104.94 / $164.88	Professional	26	$61.35	$104.94	$164.88
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $108.90 / $108.90 / $120.72	Professional	26	$108.90	$108.90	$120.72
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.52 / $122.52 / $245.04	Professional	26	$122.52	$122.52	$245.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $181.25 / $408.75	Facility	26	$125.00	$181.25	$408.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $83.97 / $125.00 / $291.50	Professional	26	$83.97	$125.00	$291.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.81 / $95.81 / $95.81	Facility	26	$95.81	$95.81	$95.81
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $109.22 / $167.87	Professional	26	$63.98	$109.22	$167.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $82.44 / $82.44 / $113.00	Facility	26	$82.44	$82.44	$113.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $80.48 / $82.44 / $113.00	Professional	26	$80.48	$82.44	$113.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $100.43 / $161.13	Professional	26	$74.23	$100.43	$161.13