Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.64 / $46.90 / $134.74	Facility	26	$42.64	$46.90	$134.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $215.12 / $360.00	Professional		$191.98	$215.12	$360.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.87 / $358.20 / $419.36	Professional		$204.87	$358.20	$419.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.32 / $50.32 / $50.32	Facility	26	$50.32	$50.32	$50.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $260.91 / $415.07	Professional		$165.55	$260.91	$415.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $331.59	Professional		$297.20	$297.20	$331.59
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $42.64 / $64.81 / $139.43	Facility	26	$42.64	$64.81	$139.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $222.86 / $661.89	Professional		$191.98	$222.86	$661.89
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.32 / $50.32 / $50.32	Facility	26	$50.32	$50.32	$50.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $269.64 / $420.18	Professional		$171.15	$269.64	$420.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.56 / $43.56 / $49.70	Facility	26	$43.56	$43.56	$49.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $208.88 / $227.07	Professional		$205.39	$208.88	$227.07
United Facility/Professional Professional Modifier Low / Median / High Price $194.91 / $250.39 / $430.01	Professional		$194.91	$250.39	$430.01