Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $162.18 / $257.04	Facility		$37.15	$162.18	$257.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $151.36 / $245.47	Facility	26	$40.74	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $42.66 / $75.86	Professional		$15.14	$42.66	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $45.71 / $138.04	Professional	26	$17.38	$45.71	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $74.13 / $85.11	Professional	26	$42.66	$74.13	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $85.11	Professional		$75.86	$85.11	$85.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $45.71 / $77.62	Professional	26	$28.84	$45.71	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.37 / $14.79	Facility		$3.16	$5.37	$14.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $100.00	Professional		$53.70	$67.61	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $93.33	Professional	26	$50.12	$63.10	$93.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $63.10	Professional		$45.71	$54.95	$63.10
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $45.71 / $74.13	Professional	26	$19.50	$45.71	$74.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $70.79 / $81.28	Professional	26	$14.79	$70.79	$81.28
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $58.88	Professional	26	$34.67	$34.67	$58.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $147.91 / $257.04	Facility		$37.15	$147.91	$257.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $138.04 / $245.47	Facility	26	$40.74	$138.04	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $48.98 / $194.98	Professional		$16.98	$48.98	$194.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $47.86 / $154.88	Professional	26	$17.38	$47.86	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $79.43 / $87.10	Professional		$0.60	$79.43	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $18.62 / $53.70	Facility		$4.90	$18.62	$53.70
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $45.71 / $45.71	Facility	26	$16.98	$45.71	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $33.88 / $67.61	Professional		$4.90	$33.88	$67.61
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $45.71 / $47.86	Professional	26	$16.98	$45.71	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $45.71	Professional		$16.60	$23.44	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.44 / $42.66	Professional	26	$16.22	$23.44	$42.66