Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $167.93 / $400.00	Facility	26	$125.00	$167.93	$400.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $125.00 / $375.00	Professional	26	$91.31	$125.00	$375.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $90.82 / $94.25 / $175.83	Professional	26	$90.82	$94.25	$175.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $109.36 / $176.07	Professional	26	$64.95	$109.36	$176.07
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $118.76 / $118.76 / $132.57	Professional	26	$118.76	$118.76	$132.57
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.56 / $137.74 / $636.35	Professional	26	$102.56	$137.74	$636.35
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $178.75 / $408.75	Facility	26	$125.00	$178.75	$408.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $125.00 / $265.00	Professional	26	$93.63	$125.00	$265.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $115.66 / $180.45	Professional	26	$65.34	$115.66	$180.45
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $89.52 / $89.52 / $105.00	Facility	26	$89.52	$89.52	$105.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $87.28 / $89.52 / $105.00	Professional	26	$87.28	$89.52	$105.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.79 / $104.81 / $172.23	Professional	26	$79.79	$104.81	$172.23