Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.36 / $23.36 / $148.34	Facility	26	$23.36	$23.36	$148.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $47.84 / $60.35	Professional		$28.87	$47.84	$60.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $21.35 / $25.09	Professional	26	$18.66	$21.35	$25.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $50.92 / $74.70	Professional		$43.28	$50.92	$74.70
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $21.24 / $39.06	Professional	26	$18.05	$21.24	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $53.23 / $89.27	Professional		$39.35	$53.23	$89.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $27.44 / $44.74	Professional	26	$19.87	$27.44	$44.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $76.19 / $141.25	Professional		$54.55	$76.19	$141.25
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $29.59 / $54.76	Professional	26	$22.47	$29.59	$54.76
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $23.36 / $29.18 / $148.34	Facility	26	$23.36	$29.18	$148.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $50.88 / $132.00	Professional		$34.27	$50.88	$132.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $23.36 / $61.00	Professional	26	$19.30	$23.36	$61.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $57.20 / $138.19	Professional		$35.20	$57.20	$138.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $53.23 / $84.83	Professional		$39.35	$53.23	$84.83
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $27.48 / $45.78	Professional	26	$19.87	$27.48	$45.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $20.23 / $46.84	Facility	26	$20.23	$20.23	$46.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $49.32 / $69.98	Professional		$48.63	$49.32	$69.98
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $20.23 / $46.84	Professional	26	$19.73	$20.23	$46.84
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $48.35 / $82.31	Professional		$36.40	$48.35	$82.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $24.08 / $40.26	Professional	26	$19.25	$24.08	$40.26