Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.95 / $51.63 / $51.63	Facility	26	$47.95	$51.63	$51.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.90 / $247.59 / $555.12	Professional		$206.90	$247.59	$555.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $53.61 / $148.61	Professional	26	$45.01	$53.61	$148.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $348.33 / $422.42	Professional		$311.32	$348.33	$422.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $86.12 / $103.98	Professional	26	$53.23	$86.12	$103.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $292.06 / $468.59	Professional		$212.85	$292.06	$468.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $65.69 / $101.12	Professional	26	$43.83	$65.69	$101.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.71 / $491.58 / $650.26	Professional		$380.71	$491.58	$650.26
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.61 / $77.92 / $109.52	Professional	26	$60.61	$77.92	$109.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.63 / $51.63 / $51.63	Facility	26	$51.63	$51.63	$51.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $217.56 / $288.37 / $688.54	Professional		$217.56	$288.37	$688.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $47.95 / $58.80 / $153.34	Professional	26	$47.95	$58.80	$153.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $267.39 / $622.70	Professional		$83.13	$267.39	$622.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $210.67 / $293.70 / $487.22	Professional		$210.67	$293.70	$487.22
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $66.98 / $117.50	Professional	26	$42.56	$66.98	$117.50
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.71 / $52.71 / $60.40	Facility	26	$52.71	$52.71	$60.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.34 / $246.19 / $268.14	Professional		$238.34	$246.19	$268.14
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $52.71 / $60.40	Professional	26	$51.59	$52.71	$60.40
United Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $263.44 / $429.00	Professional		$206.88	$263.44	$429.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.67 / $59.98 / $101.58	Professional	26	$49.67	$59.98	$101.58