Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $324.77 / $417.46 / $576.94	Facility	26	$324.77	$417.46	$576.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.54 / $1,201.56 / $1,875.02	Professional		$1,065.54	$1,201.56	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $309.31 / $365.79 / $1,359.00	Professional	26	$309.31	$365.79	$1,359.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $912.50 / $1,746.08 / $2,371.11	Professional		$912.50	$1,746.08	$2,371.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $286.74 / $536.79 / $756.54	Professional	26	$286.74	$536.79	$756.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.13 / $1,539.01 / $2,274.31	Professional		$1,171.13	$1,539.01	$2,274.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $337.34 / $468.49 / $678.46	Professional	26	$337.34	$468.49	$678.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.56 / $1,626.56 / $1,685.20	Professional		$1,626.56	$1,626.56	$1,685.20
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $467.64 / $467.64 / $510.58	Professional	26	$467.64	$467.64	$510.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $324.77 / $483.24 / $751.42	Facility	26	$324.77	$483.24	$751.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,065.53 / $1,320.36 / $3,868.65	Professional		$1,065.53	$1,320.36	$3,868.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $309.31 / $412.79 / $1,130.54	Professional	26	$309.31	$412.79	$1,130.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.60 / $1,568.10 / $3,126.70	Professional		$1,351.60	$1,568.10	$3,126.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.13 / $1,553.18 / $2,487.41	Professional		$1,171.13	$1,553.18	$2,487.41
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $352.68 / $481.36 / $733.25	Professional	26	$352.68	$481.36	$733.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $320.02 / $320.02 / $336.09	Facility	26	$320.02	$320.02	$336.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.39 / $1,072.79 / $1,162.57	Professional		$1,053.39	$1,072.79	$1,162.57
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $307.25 / $324.70 / $336.09	Professional	26	$307.25	$324.70	$336.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.60 / $1,463.84 / $2,322.96	Professional		$1,156.60	$1,463.84	$2,322.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $350.07 / $468.44 / $751.17	Professional	26	$350.07	$468.44	$751.17