Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $127.88 / $395.00	Facility	26	$125.00	$127.88	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $125.00 / $304.50	Professional	26	$93.63	$125.00	$304.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $78.00 / $94.77	Professional	26	$78.00	$78.00	$94.77
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $101.17 / $104.98 / $195.64	Professional	26	$101.17	$104.98	$195.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.27 / $121.85 / $193.34	Professional	26	$73.27	$121.85	$193.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.46 / $132.46 / $148.30	Professional	26	$132.46	$132.46	$148.30
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.24 / $114.33 / $188.24	Professional	26	$113.24	$114.33	$188.24
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 $95.44 / $125.00 / $291.50	Professional	26	$95.44	$125.00	$291.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $127.19 / $200.34	Professional	26	$73.37	$127.19	$200.34
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $100.70 / $100.70 / $116.90	Facility	26	$100.70	$100.70	$116.90
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $98.16 / $100.71 / $116.90	Professional	26	$98.16	$100.71	$116.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.84 / $128.72 / $210.98	Professional	26	$90.84	$128.72	$210.98