Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.52 / $3.97 / $3.97	Facility	26	$3.52	$3.97	$3.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $49.26 / $204.00	Professional		$39.61	$49.26	$204.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $48.00 / $90.53	Professional		$46.26	$48.00	$90.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $65.26 / $108.53	Professional		$45.82	$65.26	$108.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $73.95 / $96.54	Professional		$51.81	$73.95	$96.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $3.97 / $3.97 / $3.97	Facility	26	$3.97	$3.97	$3.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $52.99 / $225.00	Professional		$40.22	$52.99	$225.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $50.82 / $118.10	Professional		$5.34	$50.82	$118.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $63.83 / $108.53	Professional		$45.42	$63.83	$108.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $3.63 / $3.63 / $4.00	Facility	26	$3.63	$3.63	$4.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $45.04 / $77.50	Professional		$44.20	$45.04	$77.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $55.72 / $92.99	Professional		$41.46	$55.72	$92.99