Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.42 / $41.42 / $263.02	Facility	26	$41.42	$41.42	$263.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $68.14 / $121.60	Professional		$52.50	$68.14	$121.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $37.26 / $53.83	Professional	26	$32.63	$37.26	$53.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $89.29	Professional		$89.29	$89.29	$89.29
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $76.94 / $111.47	Professional		$67.95	$76.94	$111.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $43.22 / $71.66	Professional	26	$35.22	$43.22	$71.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $80.67 / $137.46	Professional		$64.11	$80.67	$137.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $47.15 / $75.14	Professional	26	$33.89	$47.15	$75.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $104.30 / $192.37	Professional		$75.53	$104.30	$192.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $50.87 / $93.46	Professional	26	$38.79	$50.87	$93.46
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.51 / $47.51 / $61.21	Professional	26	$47.51	$47.51	$61.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.42 / $51.59 / $263.02	Facility	26	$41.42	$51.59	$263.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $81.26 / $247.04	Professional		$59.71	$81.26	$247.04
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $41.88 / $94.95	Professional	26	$34.15	$41.88	$94.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $69.23 / $189.30	Professional		$45.70	$69.23	$189.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $80.92 / $136.61	Professional		$64.11	$80.92	$136.61
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $47.15 / $81.33	Professional	26	$33.89	$47.15	$81.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $42.33	Facility	26	$35.18	$35.18	$42.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $68.05 / $72.68	Professional		$65.37	$68.05	$72.68
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $35.18 / $42.33	Professional	26	$34.40	$35.18	$42.33
United Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $77.93 / $119.14	Professional		$62.30	$77.93	$119.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $46.65 / $74.12	Professional	26	$33.22	$46.65	$74.12