Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.71 / $63.71 / $201.32	Facility	26	$63.71	$63.71	$201.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $343.24 / $1,813.66	Professional		$297.77	$343.24	$1,813.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $64.05 / $332.00	Professional	26	$55.81	$64.05	$332.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $408.43 / $660.82	Professional		$319.45	$408.43	$660.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $64.55 / $108.84 / $164.33	Professional	26	$64.55	$108.84	$164.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $389.63 / $649.67	Professional		$251.27	$389.63	$649.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $79.17 / $123.26	Professional	26	$46.26	$79.17	$123.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $464.31 / $517.19	Professional		$464.31	$464.31	$517.19
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.55 / $84.55 / $94.13	Professional	26	$84.55	$84.55	$94.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $93.58 / $117.54	Professional	26	$71.87	$93.58	$117.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $63.71 / $85.04 / $208.33	Facility	26	$63.71	$85.04	$208.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $381.63 / $1,401.50	Professional		$305.26	$381.63	$1,401.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.84 / $68.89 / $151.37	Professional	26	$57.84	$68.89	$151.37
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $399.31 / $651.49	Professional		$260.02	$399.31	$651.49
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $81.48 / $129.24	Professional	26	$49.01	$81.48	$129.24
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.48 / $64.48 / $71.50	Facility	26	$64.48	$64.48	$71.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $330.01 / $359.07	Professional		$243.00	$330.01	$359.07
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $62.88 / $64.48 / $71.50	Professional	26	$62.88	$64.48	$71.50
United Facility/Professional Professional Modifier Low / Median / High Price $286.32 / $390.86 / $663.41	Professional		$286.32	$390.86	$663.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $78.79 / $126.17	Professional	26	$61.66	$78.79	$126.17