Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.27 / $25.62 / $79.68	Facility	26	$23.27	$25.62	$79.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $131.18 / $161.09	Professional		$112.79	$131.18	$161.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $23.27 / $26.63	Professional	26	$20.75	$23.27	$26.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $124.77 / $124.77	Professional		$124.77	$124.77	$124.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.19 / $21.08	Professional	26	$20.14	$20.19	$21.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $177.91 / $242.88	Professional		$127.43	$177.91	$242.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $33.53 / $47.00	Professional	26	$22.86	$33.53	$47.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $190.82 / $297.33	Professional		$138.00	$190.82	$297.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $31.05 / $48.64	Professional	26	$21.83	$31.05	$48.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $208.50 / $421.93	Professional		$164.78	$208.50	$421.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $34.65 / $70.12	Professional	26	$27.57	$34.65	$70.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $27.83 / $27.83	Professional	26	$27.83	$27.83	$27.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $23.27 / $33.28 / $79.68	Facility	26	$23.27	$33.28	$79.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $137.59 / $310.66	Professional		$112.85	$137.59	$310.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $23.92 / $43.49	Professional	26	$21.60	$23.92	$43.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.60 / $282.60 / $282.60	Professional		$282.60	$282.60	$282.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $190.88 / $320.58	Professional		$137.56	$190.88	$320.58
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $31.02 / $52.99	Professional	26	$21.83	$31.02	$52.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.20 / $23.20 / $27.73	Facility	26	$23.20	$23.20	$27.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $124.18 / $143.44	Professional		$121.25	$124.18	$143.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $23.48 / $27.73	Professional	26	$22.34	$23.48	$27.73
United Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $177.25 / $302.42	Professional		$134.10	$177.25	$302.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $29.95 / $48.47	Professional	26	$22.65	$29.95	$48.47