Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.11 / $30.67 / $30.67	Facility	26	$26.11	$30.67	$30.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $104.40 / $214.08	Professional		$48.57	$104.40	$214.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $28.66 / $50.26	Professional	26	$26.11	$28.66	$50.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $144.69 / $179.97	Professional		$91.94	$144.69	$179.97
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $31.64 / $49.34 / $54.97	Professional	26	$31.64	$49.34	$54.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $260.87 / $297.20	Professional		$64.33	$260.87	$297.20
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $47.12 / $51.84	Professional	26	$40.47	$47.12	$51.84
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $30.67 / $30.67 / $30.67	Facility	26	$30.67	$30.67	$30.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $104.40 / $229.73	Professional		$47.99	$104.40	$229.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $29.98 / $50.50	Professional	26	$26.11	$29.98	$50.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $239.00 / $487.50	Professional		$239.00	$239.00	$487.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $31.02 / $31.02 / $31.99	Facility	26	$31.02	$31.02	$31.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $171.70 / $187.26	Professional		$54.31	$171.70	$187.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $31.02 / $32.40	Professional	26	$30.37	$31.02	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $127.93 / $219.72	Professional		$71.17	$127.93	$219.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.32 / $35.32 / $59.24	Professional	26	$27.32	$35.32	$59.24