Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.60 / $424.96 / $645.33	Facility	26	$363.60	$424.96	$645.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.07 / $1,335.23 / $2,078.50	Professional		$1,184.07	$1,335.23	$2,078.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.29 / $424.96 / $1,460.00	Professional	26	$346.29	$424.96	$1,460.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $536.96 / $536.96 / $536.96	Professional	26	$536.96	$536.96	$536.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,012.56 / $1,908.46 / $2,539.21	Professional		$1,012.56	$1,908.46	$2,539.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $321.47 / $600.85 / $842.84	Professional	26	$321.47	$600.85	$842.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.68 / $1,647.43 / $2,526.32	Professional		$1,281.68	$1,647.43	$2,526.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $378.20 / $524.39 / $759.55	Professional	26	$378.20	$524.39	$759.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.28 / $1,804.28 / $1,870.21	Professional		$1,804.28	$1,804.28	$1,870.21
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.34 / $524.34 / $573.13	Professional	26	$524.34	$524.34	$573.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $363.60 / $519.16 / $841.42	Facility	26	$363.60	$519.16	$841.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,184.06 / $1,514.89 / $4,499.22	Professional		$1,184.06	$1,514.89	$4,499.22
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $346.29 / $501.10 / $1,059.00	Professional	26	$346.29	$501.10	$1,059.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.50 / $1,676.30 / $3,473.70	Professional		$1,445.50	$1,676.30	$3,473.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.54 / $1,668.80 / $2,759.85	Professional		$1,299.54	$1,668.80	$2,759.85
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $395.39 / $536.25 / $821.05	Professional	26	$395.39	$536.25	$821.05
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $358.28 / $358.28 / $374.44	Facility	26	$358.28	$358.28	$374.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,128.07 / $1,191.66 / $1,291.26	Professional		$1,128.07	$1,191.66	$1,291.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $343.98 / $363.51 / $374.44	Professional	26	$343.98	$363.51	$374.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.94 / $1,600.79 / $2,488.39	Professional		$1,255.94	$1,600.79	$2,488.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $403.32 / $507.40 / $758.41	Professional	26	$403.32	$507.40	$758.41