Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.32 / $20.42 / $20.42	Facility	26	$18.32	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $74.02 / $122.73	Professional		$63.35	$74.02	$122.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $20.42 / $43.69	Professional	26	$18.04	$20.42	$43.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $68.23 / $68.23	Professional		$65.76	$68.23	$68.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $19.76 / $36.33	Professional	26	$19.04	$19.76	$36.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $75.76 / $132.37	Professional		$41.06	$75.76	$132.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $23.72 / $37.71	Professional	26	$17.61	$23.72	$37.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $105.34 / $137.41	Professional		$79.55	$105.34	$137.41
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $28.08 / $37.49	Professional	26	$21.70	$28.08	$37.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $73.66 / $152.19	Professional		$73.66	$73.66	$152.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $79.23 / $221.00	Professional		$63.35	$79.23	$221.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $22.45 / $52.23	Professional	26	$18.13	$22.45	$52.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $34.50 / $167.30	Professional		$34.50	$34.50	$167.30
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $76.63 / $141.36	Professional		$41.36	$76.63	$141.36
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $23.90 / $38.69	Professional	26	$17.61	$23.90	$38.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.85 / $18.85 / $20.50	Facility	26	$18.85	$18.85	$20.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $68.81 / $74.62	Professional		$45.42	$68.81	$74.62
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.46 / $18.85 / $20.50	Professional	26	$18.46	$18.85	$20.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $78.18 / $142.69	Professional		$41.10	$78.18	$142.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $22.73 / $37.13	Professional	26	$16.64	$22.73	$37.13