Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.49 / $39.49 / $39.49	Facility	26	$39.49	$39.49	$39.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $82.77 / $123.47	Professional		$72.20	$82.77	$123.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $36.94 / $57.00	Professional	26	$33.44	$36.94	$57.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $68.72 / $68.72	Professional	26	$63.67	$68.72	$68.72
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $119.12 / $149.33	Professional		$79.33	$119.12	$149.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $53.25 / $73.45	Professional	26	$36.42	$53.25	$73.45
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $158.66 / $238.23 / $298.67	Professional	50	$158.66	$238.23	$298.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $102.05 / $176.95	Professional		$74.89	$102.05	$176.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $47.73 / $82.43	Professional	26	$34.36	$47.73	$82.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $121.74 / $163.53	Professional		$83.07	$121.74	$163.53
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.90 / $53.01 / $71.78	Professional	26	$35.90	$53.01	$71.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $98.46 / $100.75	Professional		$98.46	$98.46	$100.75
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.70 / $57.80 / $93.09	Professional	26	$37.70	$57.80	$93.09
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $39.49 / $39.49 / $117.28	Facility	26	$39.49	$39.49	$117.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $89.44 / $209.19	Professional		$75.25	$89.44	$209.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $39.57 / $95.60	Professional	26	$34.39	$39.57	$95.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $75.18 / $145.19	Professional		$38.04	$75.18	$145.19
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $101.93 / $185.29	Professional		$74.89	$101.93	$185.29
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $47.73 / $86.63	Professional	26	$34.36	$47.73	$86.63
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $36.04 / $36.04	Facility	26	$33.65	$36.04	$36.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $80.62 / $86.61	Professional		$79.53	$80.62	$86.61
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $36.04 / $37.54	Professional	26	$35.15	$36.04	$37.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $94.25 / $158.31	Professional		$74.12	$94.25	$158.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.96 / $45.66 / $73.70	Professional	26	$33.96	$45.66	$73.70