Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $178.76 / $259.30	Facility		$53.52	$178.76	$259.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.97 / $188.82 / $243.58	Facility	26	$49.97	$188.82	$243.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $43.70 / $77.50	Professional		$15.66	$43.70	$77.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $43.94 / $90.87	Professional	26	$17.23	$43.94	$90.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.98 / $75.06 / $85.96	Professional	26	$42.98	$75.06	$85.96
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $46.50 / $59.46	Professional	26	$34.39	$46.50	$59.46
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $79.54 / $83.55	Professional		$70.19	$79.54	$83.55
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $43.78 / $66.08	Professional	26	$29.84	$43.78	$66.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.88 / $27.36	Facility		$2.19	$4.88	$27.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $68.13 / $131.08	Professional		$54.96	$68.13	$131.08
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $63.22 / $120.93	Professional	26	$50.83	$63.22	$120.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $45.97 / $45.97	Professional		$45.97	$45.97	$45.97
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $49.28 / $76.88	Professional	26	$14.44	$49.28	$76.88
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $46.50 / $59.46	Professional	26	$34.39	$46.50	$59.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $187.32 / $235.98	Facility		$62.49	$187.32	$235.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $54.97 / $174.90 / $221.67	Facility	26	$54.97	$174.90	$221.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $55.29 / $200.55	Professional		$17.89	$55.29	$200.55
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $47.78 / $166.90	Professional	26	$18.25	$47.78	$166.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $67.33 / $91.94	Professional		$4.50	$67.33	$91.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $5.54 / $27.36	Facility		$3.15	$5.54	$27.36
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $53.26	Facility		$48.56	$48.56	$53.26
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.10 / $45.72 / $45.72	Facility	26	$17.10	$45.72	$45.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $49.53 / $53.26	Professional		$48.36	$49.53	$53.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $45.72 / $47.52	Professional	26	$17.10	$45.72	$47.52
United Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Facility		$7.86	$7.86	$7.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $23.44 / $46.10	Professional		$17.09	$23.44	$46.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.43 / $42.52	Professional	26	$16.71	$23.43	$42.52