Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.41 / $33.45 / $33.45	Facility	26	$30.41	$33.45	$33.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $90.05 / $122.41	Professional		$80.30	$90.05	$122.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $31.69 / $58.89	Professional	26	$28.58	$31.69	$58.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $76.01	Professional		$76.01	$76.01	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $90.21 / $167.70	Professional		$86.93	$90.21	$167.70
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $32.49 / $60.98	Professional	26	$31.31	$32.49	$60.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $113.80 / $185.27	Professional		$86.19	$113.80	$185.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.02 / $40.61 / $64.86	Professional	26	$31.02	$40.61	$64.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $134.22 / $176.27	Professional		$96.82	$134.22	$176.27
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.50 / $44.48 / $57.56	Professional	26	$34.50	$44.48	$57.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $38.06 / $58.08	Professional	26	$32.71	$38.06	$58.08
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $30.41 / $33.45 / $56.68	Facility	26	$30.41	$33.45	$56.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $95.13 / $156.94	Professional		$81.27	$95.13	$156.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $33.21 / $91.67	Professional	26	$28.99	$33.21	$91.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $113.50 / $174.90	Professional		$41.65	$113.50	$174.90
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $113.37 / $184.74	Professional		$86.11	$113.37	$184.74
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $40.13 / $64.86	Professional	26	$30.40	$40.13	$64.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $30.98 / $36.83	Facility	26	$30.98	$30.98	$36.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $83.77 / $101.76	Professional		$82.59	$83.77	$101.76
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $30.98 / $36.83	Professional	26	$30.31	$30.98	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $99.23 / $171.58	Professional		$78.41	$99.23	$171.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $35.78 / $60.91	Professional	26	$28.19	$35.78	$60.91