Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.30 / $30.57 / $126.25	Facility	26	$25.30	$30.57	$126.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $50.94 / $85.40	Professional		$34.07	$50.94	$85.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.51 / $51.88	Professional	26	$19.55	$22.51	$51.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $51.96 / $78.42	Professional		$44.17	$51.96	$78.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $22.28 / $42.20	Professional	26	$18.94	$22.28	$42.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $53.68 / $93.38	Professional		$38.77	$53.68	$93.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $27.36 / $46.95	Professional	26	$20.53	$27.36	$46.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $77.70 / $143.34	Professional		$55.76	$77.70	$143.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.66 / $31.03 / $56.85	Professional	26	$23.66	$31.03	$56.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $102.70 / $102.70	Professional		$102.70	$102.70	$102.70
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.38 / $32.54 / $160.66	Facility	26	$28.38	$32.54	$160.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $53.83 / $164.00	Professional		$34.07	$53.83	$164.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $25.99 / $58.30	Professional	26	$20.53	$25.99	$58.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $62.20 / $147.30	Professional		$40.47	$62.20	$147.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $54.49 / $90.42	Professional		$38.77	$54.49	$90.42
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $27.75 / $49.28	Professional	26	$20.60	$27.75	$49.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $23.00	Facility	26	$21.56	$21.56	$23.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $51.59 / $55.44	Professional		$37.00	$51.59	$55.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $21.56 / $23.00	Professional	26	$21.10	$21.56	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $49.90 / $87.14	Professional		$34.94	$49.90	$87.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $25.57 / $42.92	Professional	26	$20.01	$25.57	$42.92