Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.51 / $106.80 / $106.80	Facility	26	$90.51	$106.80	$106.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $109.04 / $412.85	Professional		$55.26	$109.04	$412.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $21.42 / $229.35	Professional	26	$15.13	$21.42	$229.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.08 / $43.08 / $43.08	Professional	26	$43.08	$43.08	$43.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $135.29 / $211.16	Professional		$130.37	$135.29	$211.16
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $27.10 / $44.49	Professional	26	$26.12	$27.10	$44.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $39.27 / $39.27	Facility	26	$39.27	$39.27	$39.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $79.11 / $174.86	Professional		$45.68	$79.11	$174.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $16.63 / $35.94	Professional	26	$12.32	$16.63	$35.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $199.03 / $263.58	Professional		$85.91	$199.03	$263.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $36.25 / $47.64	Professional	26	$16.02	$36.25	$47.64
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $30.87 / $41.26	Professional	26	$28.06	$30.87	$41.26
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $106.80 / $106.80 / $106.80	Facility	26	$106.80	$106.80	$106.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $147.65 / $532.40	Professional		$88.55	$147.65	$532.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $30.80 / $229.35	Professional	26	$17.73	$30.80	$229.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $133.91 / $223.60	Professional		$25.98	$133.91	$223.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $39.27 / $39.27	Facility	26	$39.27	$39.27	$39.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $83.78 / $186.32	Professional		$47.66	$83.78	$186.32
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $23.08 / $39.47	Professional	26	$12.32	$23.08	$39.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $127.79 / $140.31	Professional		$105.56	$127.79	$140.31
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $26.38 / $28.44	Professional	26	$25.74	$26.38	$28.44
United Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $107.74 / $176.28	Professional		$59.26	$107.74	$176.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $27.59 / $42.37	Professional	26	$15.18	$27.59	$42.37