Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $164.66 / $400.00	Facility	26	$125.00	$164.66	$400.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $375.00	Professional	26	$90.00	$125.00	$375.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $89.05 / $148.38 / $228.20	Professional	26	$89.05	$148.38	$228.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.10 / $102.10 / $102.10	Facility	26	$102.10	$102.10	$102.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.26 / $107.34 / $170.42	Professional	26	$64.26	$107.34	$170.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $116.70 / $116.70 / $130.35	Professional	26	$116.70	$116.70	$130.35
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $106.10 / $108.42	Professional	26	$106.10	$106.10	$108.42
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 $89.89 / $125.00 / $265.00	Professional	26	$89.89	$125.00	$265.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.10 / $102.10 / $102.10	Facility	26	$102.10	$102.10	$102.10
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.62 / $111.56 / $175.72	Professional	26	$64.62	$111.56	$175.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $88.71 / $88.71 / $103.16	Facility	26	$88.71	$88.71	$103.16
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $86.40 / $88.78 / $103.16	Professional	26	$86.40	$88.78	$103.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.39 / $104.41 / $172.31	Professional	26	$79.39	$104.41	$172.31