Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.45 / $211.75 / $211.75	Facility	26	$179.45	$211.75	$211.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $100.07 / $145.04	Professional		$84.98	$100.07	$145.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $43.24 / $61.09	Professional	26	$34.97	$43.24	$61.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $127.63 / $209.41	Professional		$122.99	$127.63	$209.41
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $53.76 / $90.10	Professional	26	$51.80	$53.76	$90.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $58.86	Facility	26	$58.86	$58.86	$58.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $90.63 / $189.68	Professional		$58.02	$90.63	$189.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $37.52 / $77.93	Professional	26	$24.43	$37.52	$77.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $182.21 / $241.50	Professional		$79.31	$182.21	$241.50
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $71.15 / $93.39	Professional	26	$31.53	$71.15	$93.39
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $211.75 / $211.75 / $211.75	Facility	26	$211.75	$211.75	$211.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $100.07 / $939.10	Professional		$84.98	$100.07	$939.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $43.24 / $386.06	Professional	26	$35.19	$43.24	$386.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $106.75 / $214.13	Professional		$51.02	$106.75	$214.13
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $58.86	Facility	26	$58.86	$58.86	$58.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $102.94 / $212.96	Professional		$58.02	$102.94	$212.96
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $39.94 / $92.65	Professional	26	$24.43	$39.94	$92.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $120.65 / $140.00	Professional		$116.67	$120.65	$140.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $52.30 / $65.00	Professional	26	$51.04	$52.30	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $131.80 / $212.33	Professional		$74.42	$131.80	$212.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $56.71 / $89.43	Professional	26	$34.03	$56.71	$89.43