Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.34 / $72.34 / $118.59	Facility	26	$72.34	$72.34	$118.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $164.25 / $256.79	Professional		$141.24	$164.25	$256.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.96 / $70.01 / $189.08	Professional	26	$60.96	$70.01	$189.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $143.08 / $182.04	Professional		$133.15	$143.08	$182.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $88.68 / $123.47 / $126.64	Professional	26	$88.68	$123.47	$126.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $157.38 / $291.51	Professional		$151.66	$157.38	$291.51
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $67.12 / $69.65 / $125.68	Professional	26	$67.12	$69.65	$125.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $188.94 / $303.02	Professional		$146.62	$188.94	$303.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $82.91 / $135.69	Professional	26	$65.73	$82.91	$135.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $233.36 / $306.57	Professional		$168.41	$233.36	$306.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.56 / $95.99 / $126.76	Professional	26	$73.56	$95.99	$126.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $163.97 / $189.88	Professional		$74.03	$163.97	$189.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.42 / $76.43 / $105.95	Professional	26	$44.42	$76.43	$105.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $72.34 / $99.76 / $214.84	Facility	26	$72.34	$99.76	$214.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $171.19 / $418.04	Professional		$144.02	$171.19	$418.04
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $89.19 / $214.84	Professional	26	$64.48	$89.19	$214.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $165.70 / $371.30	Professional		$88.94	$165.70	$371.30
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $188.10 / $303.02	Professional		$146.62	$188.10	$303.02
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $82.31 / $135.69	Professional	26	$65.06	$82.31	$135.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $66.06 / $66.06 / $70.08	Facility	26	$66.06	$66.06	$70.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $147.29 / $157.91	Professional		$130.00	$147.29	$157.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $66.15 / $70.08	Professional	26	$64.33	$66.15	$70.08
United Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $169.02 / $291.18	Professional		$130.50	$169.02	$291.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.90 / $74.12 / $129.76	Professional	26	$57.90	$74.12	$129.76