Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.80 / $69.56 / $95.90	Facility	26	$66.80	$69.56	$95.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $120.72 / $282.72	Professional		$103.66	$120.72	$282.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $65.78 / $135.21	Professional	26	$59.12	$65.78	$135.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $161.57 / $176.17	Professional		$104.96	$161.57	$176.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.38 / $91.23 / $121.64	Professional	26	$56.38	$91.23	$121.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $176.52 / $224.96	Professional		$108.01	$176.52	$224.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $104.03 / $124.95	Professional	26	$64.47	$104.03	$124.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $137.56 / $251.59	Professional		$89.33	$137.56	$251.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $84.83 / $147.38	Professional	26	$61.81	$84.83	$147.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $163.58 / $220.21	Professional		$111.40	$163.58	$220.21
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.34 / $93.61 / $126.98	Professional	26	$63.34	$93.61	$126.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $127.22 / $173.83	Professional		$122.29	$127.22	$173.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $78.68 / $102.22	Professional	26	$69.81	$78.68	$102.22
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $62.31 / $76.52 / $105.74	Facility	26	$62.31	$76.52	$105.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $145.38 / $310.60	Professional		$107.50	$145.38	$310.60
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $60.82 / $75.92 / $151.94	Professional	26	$60.82	$75.92	$151.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $97.09 / $197.95	Professional		$51.79	$97.09	$197.95
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $137.00 / $255.29	Professional		$89.33	$137.00	$255.29
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.19 / $84.83 / $151.69	Professional	26	$62.19	$84.83	$151.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $63.51 / $63.51	Facility	26	$58.89	$63.51	$63.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $107.76 / $114.86	Professional		$106.13	$107.76	$114.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $62.14 / $63.51 / $66.14	Professional	26	$62.14	$63.51	$66.14
United Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $134.77 / $234.68	Professional		$106.88	$134.77	$234.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.36 / $76.41 / $129.65	Professional	26	$60.36	$76.41	$129.65