Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $137.50 / $240.00	Facility	26	$125.00	$137.50	$240.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.75 / $196.42 / $371.20	Professional	26	$109.75	$196.42	$371.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.36 / $175.06 / $215.10	Professional	26	$91.36	$175.06	$215.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $114.00 / $118.30 / $219.52	Professional	26	$114.00	$118.30	$219.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.13 / $130.13 / $130.13	Facility	26	$130.13	$130.13	$130.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.97 / $136.22 / $219.36	Professional	26	$81.97	$136.22	$219.36
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.16 / $149.16 / $166.50	Professional	26	$149.16	$149.16	$166.50
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.03 / $140.96 / $215.77	Professional	26	$126.03	$140.96	$215.77
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $169.79 / $400.00	Facility	26	$125.00	$169.79	$400.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $111.73 / $171.50 / $344.81	Professional	26	$111.73	$171.50	$344.81
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $130.13 / $130.13 / $130.13	Facility	26	$130.13	$130.13	$130.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.09 / $144.00 / $224.08	Professional	26	$82.09	$144.00	$224.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $112.45 / $112.45 / $132.46	Facility	26	$112.45	$112.45	$132.46
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $112.45 / $132.46	Professional	26	$109.65	$112.45	$132.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $137.31 / $222.75	Professional	26	$102.63	$137.31	$222.75