Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.25 / $259.81 / $306.57	Facility	26	$107.25	$259.81	$306.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $396.65 / $1,758.98	Professional		$219.50	$396.65	$1,758.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.06 / $62.11 / $187.03	Professional	26	$43.06	$62.11	$187.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.24 / $109.24 / $142.06	Professional	26	$109.24	$109.24	$142.06
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $433.21 / $490.75 / $735.67	Professional		$433.21	$490.75	$735.67
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $75.29 / $97.67 / $186.58	Professional	26	$75.29	$97.67	$186.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Facility	26	$105.59	$105.59	$105.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $323.68 / $660.79	Professional		$186.38	$323.68	$660.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $45.88 / $100.63	Professional	26	$35.32	$45.88	$100.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $725.33 / $962.15	Professional		$312.85	$725.33	$962.15
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.24 / $104.66 / $311.02	Professional	26	$46.24	$104.66	$311.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.78 / $104.45 / $126.94	Professional	26	$77.78	$104.45	$126.94
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $107.25 / $306.57 / $306.57	Facility	26	$107.25	$306.57	$306.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.09 / $604.77 / $1,854.91	Professional		$346.09	$604.77	$1,854.91
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $88.79 / $306.57	Professional	26	$57.74	$88.79	$306.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $485.63 / $853.00	Professional		$74.76	$485.63	$853.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Facility	26	$105.59	$105.59	$105.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $338.70 / $688.30	Professional		$186.38	$338.70	$688.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $65.89 / $111.60	Professional	26	$35.52	$65.89	$111.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.94 / $445.48 / $489.87	Professional		$299.94	$445.48	$489.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $73.83 / $75.70 / $98.74	Professional	26	$73.83	$75.70	$98.74
United Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $374.40 / $704.65	Professional		$205.02	$374.40	$704.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $78.18 / $117.27	Professional	26	$43.00	$78.18	$117.27