Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.64 / $20.42 / $20.42	Facility	26	$19.64	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $78.17 / $221.00	Professional		$56.50	$78.17	$221.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $20.14 / $45.11	Professional	26	$18.07	$20.14	$45.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $73.52 / $131.41	Professional		$70.84	$73.52	$131.41
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $19.76 / $36.39	Professional	26	$19.04	$19.76	$36.39
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 $40.57 / $75.42 / $139.74	Professional		$40.57	$75.42	$139.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $23.56 / $37.71	Professional	26	$17.30	$23.56	$37.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $113.75 / $148.28	Professional		$85.84	$113.75	$148.28
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 $30.15 / $89.69 / $129.28	Professional		$30.15	$89.69	$129.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $32.95 / $36.15	Professional	26	$32.95	$32.95	$36.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $19.64 / $19.64 / $20.42	Facility	26	$19.64	$19.64	$20.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $86.89 / $213.00	Professional		$57.66	$86.89	$213.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $22.45 / $51.30	Professional	26	$18.07	$22.45	$51.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $172.00	Professional		$35.00	$35.00	$172.00
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 $40.57 / $76.87 / $144.28	Professional		$40.57	$76.87	$144.28
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $23.87 / $38.04	Professional	26	$17.30	$23.87	$38.04
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.85 / $18.85 / $21.00	Facility	26	$18.85	$18.85	$21.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $73.87 / $80.19	Professional		$42.98	$73.87	$80.19
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.46 / $18.85 / $21.00	Professional	26	$18.46	$18.85	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $76.45 / $134.02	Professional		$38.88	$76.45	$134.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $22.65 / $37.06	Professional	26	$16.82	$22.65	$37.06