Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.45 / $125.00 / $395.00	Facility	26	$102.45	$125.00	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $350.00	Professional	26	$90.00	$125.00	$350.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $64.31 / $64.31	Professional	26	$64.31	$64.31	$64.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $71.18 / $130.96	Professional	26	$68.59	$71.18	$130.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $81.93 / $130.69	Professional	26	$49.15	$81.93	$130.69
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $89.84 / $89.84 / $99.90	Professional	26	$89.84	$89.84	$99.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $76.15 / $115.03	Professional	26	$71.98	$76.15	$115.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $102.45 / $163.75 / $400.00	Facility	26	$102.45	$163.75	$400.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.95 / $125.00 / $366.25	Professional	26	$89.95	$125.00	$366.25
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $84.12 / $132.47	Professional	26	$49.15	$84.12	$132.47
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $67.84 / $67.84 / $157.60	Facility	26	$67.84	$67.84	$157.60
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $66.17 / $67.84 / $157.60	Professional	26	$66.17	$67.84	$157.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.29 / $82.92 / $135.02	Professional	26	$61.29	$82.92	$135.02