Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.53 / $47.53 / $301.82	Facility	26	$47.53	$47.53	$301.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $74.77 / $128.26	Professional		$58.04	$74.77	$128.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $43.44 / $72.28	Professional	26	$38.11	$43.44	$72.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $67.45 / $67.45	Professional	26	$67.45	$67.45	$67.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $83.99 / $121.68	Professional		$73.95	$83.99	$121.68
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $50.50 / $82.08	Professional	26	$40.90	$50.50	$82.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $88.59 / $150.06	Professional		$69.88	$88.59	$150.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $54.50 / $87.13	Professional	26	$39.40	$54.50	$87.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $113.07 / $208.93	Professional		$82.10	$113.07	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $59.12 / $109.05	Professional	26	$45.00	$59.12	$109.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $47.53 / $59.25 / $301.82	Facility	26	$47.53	$59.25	$301.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $87.93 / $199.08	Professional		$65.20	$87.93	$199.08
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $39.50 / $48.35 / $134.06	Professional	26	$39.50	$48.35	$134.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $81.76 / $203.90	Professional		$46.15	$81.76	$203.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $88.69 / $147.75	Professional		$69.77	$88.69	$147.75
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $54.50 / $93.41	Professional	26	$39.40	$54.50	$93.41
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $41.10 / $41.10 / $48.48	Facility	26	$41.10	$41.10	$48.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $74.29 / $79.23	Professional		$71.52	$74.29	$79.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $41.10 / $48.48	Professional	26	$40.10	$41.10	$48.48
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $85.14 / $132.57	Professional		$67.56	$85.14	$132.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $53.40 / $85.72	Professional	26	$38.59	$53.40	$85.72