Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.17 / $59.53 / $97.59	Facility	26	$57.17	$59.53	$97.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.67 / $335.87 / $593.73	Professional		$295.67	$335.87	$593.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $56.99 / $142.44	Professional	26	$50.82	$56.99	$142.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $208.58 / $336.65	Professional		$208.58	$208.58	$336.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $53.49 / $80.75	Professional	26	$48.53	$53.49	$80.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $346.49 / $574.11	Professional		$294.52	$346.49	$574.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $55.46 / $80.64 / $134.01	Professional	26	$55.46	$80.64	$134.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.89 / $397.68 / $693.01	Professional		$241.89	$397.68	$693.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.32 / $70.64 / $123.16	Professional	26	$52.32	$70.64	$123.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.42 / $527.50 / $696.74	Professional		$361.42	$527.50	$696.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $80.61 / $109.25	Professional	26	$54.58	$80.61	$109.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.83 / $388.50 / $427.35	Professional		$326.83	$388.50	$427.35
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $67.84 / $95.98	Professional	26	$61.52	$67.84	$95.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $57.17 / $79.00 / $117.86	Facility	26	$57.17	$79.00	$117.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $311.43 / $386.75 / $842.55	Professional		$311.43	$386.75	$842.55
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $73.68 / $150.91	Professional	26	$50.97	$73.68	$150.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $338.44 / $597.05	Professional		$66.06	$338.44	$597.05
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $402.81 / $785.12	Professional		$250.16	$402.81	$785.12
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $70.12 / $129.97	Professional	26	$52.75	$70.12	$129.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.58 / $54.58 / $66.00	Facility	26	$54.58	$54.58	$66.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.57 / $328.66 / $358.56	Professional		$322.57	$328.66	$358.56
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $54.58 / $56.83	Professional	26	$53.37	$54.58	$56.83
United Facility/Professional Professional Modifier Low / Median / High Price $210.33 / $346.53 / $605.44	Professional		$210.33	$346.53	$605.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $67.34 / $116.33	Professional	26	$51.59	$67.34	$116.33