Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $232.74 / $272.12 / $405.81	Facility	26	$232.74	$272.12	$405.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.35 / $952.60 / $2,368.89	Professional		$863.35	$952.60	$2,368.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.46 / $261.11 / $678.00	Professional	26	$219.46	$261.11	$678.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $219.64 / $219.64 / $219.64	Professional	26	$219.64	$219.64	$219.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $734.43 / $1,337.61 / $1,778.60	Professional		$734.43	$1,337.61	$1,778.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $205.11 / $382.81 / $551.12	Professional	26	$205.11	$382.81	$551.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.20 / $1,162.63 / $1,837.28	Professional		$928.20	$1,162.63	$1,837.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $241.30 / $334.08 / $484.74	Professional	26	$241.30	$334.08	$484.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.86 / $1,314.86 / $1,358.62	Professional		$1,314.86	$1,314.86	$1,358.62
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $334.54 / $334.54 / $365.11	Professional	26	$334.54	$334.54	$365.11
Highmark BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15,462.02 / $15,462.02 / $15,462.02	Facility	26	$15,462.02	$15,462.02	$15,462.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $221.65 / $321.39 / $413.62	Facility	26	$221.65	$321.39	$413.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $839.60 / $1,080.98 / $4,046.00	Professional		$839.60	$1,080.98	$4,046.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $221.65 / $308.68 / $678.00	Professional	26	$221.65	$308.68	$678.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.70 / $1,177.70 / $2,545.50	Professional		$1,014.70	$1,177.70	$2,545.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $928.20 / $1,172.46 / $1,976.97	Professional		$928.20	$1,172.46	$1,976.97
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $252.27 / $351.02 / $525.75	Professional	26	$252.27	$351.02	$525.75
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $228.65 / $228.65 / $244.84	Facility	26	$228.65	$228.65	$244.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.16 / $866.64 / $940.88	Professional		$790.16	$866.64	$940.88
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $219.56 / $231.96 / $244.84	Professional	26	$219.56	$231.96	$244.84
United Facility/Professional Professional Modifier Low / Median / High Price $929.60 / $1,156.01 / $1,742.04	Professional		$929.60	$1,156.01	$1,742.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $245.35 / $333.42 / $506.47	Professional	26	$245.35	$333.42	$506.47