Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.93 / $138.54 / $335.78	Facility	26	$104.93	$138.54	$335.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.38 / $105.02 / $245.58	Professional	26	$93.38	$105.02	$245.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.21 / $85.21 / $206.82	Professional	26	$85.21	$85.21	$206.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $109.61 / $113.75 / $215.36	Professional	26	$109.61	$113.75	$215.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.81 / $140.86 / $212.96	Professional	26	$79.81	$140.86	$212.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $119.86 / $143.10 / $162.13	Professional	26	$119.86	$143.10	$162.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $104.93 / $196.22 / $343.12	Facility	26	$104.93	$196.22	$343.12
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $96.88 / $118.26 / $245.58	Professional	26	$96.88	$118.26	$245.58
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.37 / $142.44 / $221.28	Professional	26	$85.37	$142.44	$221.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $107.76 / $107.76 / $131.00	Facility	26	$107.76	$107.76	$131.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $104.81 / $108.01 / $131.00	Professional	26	$104.81	$108.01	$131.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.60 / $132.38 / $227.27	Professional	26	$103.60	$132.38	$227.27