Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.86 / $46.46 / $46.46	Facility	26	$41.86	$46.46	$46.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $62.79 / $84.20	Professional		$53.68	$62.79	$84.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $43.88 / $57.56	Professional	26	$38.45	$43.88	$57.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $66.23 / $108.19	Professional		$63.83	$66.23	$108.19
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $46.12 / $75.17	Professional	26	$44.45	$46.12	$75.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $81.30 / $140.97	Professional		$63.79	$81.30	$140.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $56.68 / $101.09	Professional	26	$42.93	$56.68	$101.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $95.36 / $128.86	Professional		$64.76	$95.36	$128.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.25 / $64.09 / $87.31	Professional	26	$43.25	$64.09	$87.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.46 / $46.46 / $46.46	Facility	26	$46.46	$46.46	$46.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $65.31 / $108.65	Professional		$58.24	$65.31	$108.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $40.28 / $45.54 / $70.61	Professional	26	$40.28	$45.54	$70.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $61.02 / $99.28	Professional		$20.66	$61.02	$99.28
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $81.30 / $148.00	Professional		$63.79	$81.30	$148.00
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $56.68 / $102.83	Professional	26	$44.03	$56.68	$102.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.70 / $43.70 / $49.81	Facility	26	$43.70	$43.70	$49.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $62.98 / $66.69	Professional		$61.99	$62.98	$66.69
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $42.86 / $43.70 / $45.47	Professional	26	$42.86	$43.70	$45.47
United Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $70.64 / $119.02	Professional		$58.43	$70.64	$119.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $51.20 / $85.81	Professional	26	$40.83	$51.20	$85.81