Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.13 / $71.34 / $173.22	Facility	26	$54.13	$71.34	$173.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $213.56 / $306.58	Professional		$179.96	$213.56	$306.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $202.26 / $349.51 / $551.77	Professional		$202.26	$349.51	$551.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.01 / $63.01 / $63.01	Facility	26	$63.01	$63.01	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $296.38 / $465.87	Professional		$169.27	$296.38	$465.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.48 / $291.48 / $324.99	Professional		$291.48	$291.48	$324.99
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $54.13 / $101.22 / $177.01	Facility	26	$54.13	$101.22	$177.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $220.37 / $870.46	Professional		$183.61	$220.37	$870.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $212.88 / $314.89	Professional		$76.86	$212.88	$314.89
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $63.01 / $63.01 / $63.01	Facility	26	$63.01	$63.01	$63.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $297.13 / $477.94	Professional		$178.93	$297.13	$477.94
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $54.52 / $60.50	Facility	26	$54.52	$54.52	$60.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $205.29 / $326.00	Professional		$202.06	$205.29	$326.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.42 / $268.55 / $414.95	Professional		$199.42	$268.55	$414.95