Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.81 / $126.00 / $374.22	Facility	26	$83.81	$126.00	$374.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $425.00 / $1,390.00	Professional		$233.32	$425.00	$1,390.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $126.00 / $182.02	Professional	26	$64.47	$126.00	$182.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.20 / $299.00 / $368.50	Professional	TC	$168.20	$299.00	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $149.01 / $217.44	Professional		$136.24	$149.01	$217.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $89.79 / $104.53	Professional	26	$48.89	$89.79	$104.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $221.73 / $294.10 / $633.48	Professional		$221.73	$294.10	$633.48
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $63.45 / $81.93 / $125.85	Professional	26	$63.45	$81.93	$125.85
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $158.29 / $211.25 / $518.05	Professional	TC	$158.29	$211.25	$518.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $452.90 / $845.81	Professional		$219.74	$452.90	$845.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $77.48 / $127.62	Professional	26	$46.31	$77.48	$127.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.30 / $338.88 / $721.00	Professional	TC	$160.30	$338.88	$721.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $355.57 / $1,280.58	Professional		$267.94	$355.57	$1,280.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.39 / $83.33 / $131.60	Professional	26	$69.39	$83.33	$131.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $189.41 / $235.88 / $336.01	Professional	TC	$189.41	$235.88	$336.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $261.82 / $581.79	Professional		$261.82	$261.82	$581.79
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.89 / $77.98 / $118.99	Professional	26	$70.89	$77.98	$118.99
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $83.81 / $126.00 / $403.20	Facility	26	$83.81	$126.00	$403.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $425.00 / $1,390.00	Professional		$234.71	$425.00	$1,390.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $126.00 / $269.64	Professional	26	$64.47	$126.00	$269.64
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $170.24 / $299.00 / $729.56	Professional	TC	$170.24	$299.00	$729.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $262.00 / $700.00	Professional		$72.43	$262.00	$700.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $44.19 / $72.95 / $72.95	Facility	26	$44.19	$72.95	$72.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $440.06 / $792.51	Professional		$219.74	$440.06	$792.51
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $77.08 / $129.50	Professional	26	$48.18	$77.08	$129.50
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $160.30 / $338.88 / $688.75	Professional	TC	$160.30	$338.88	$688.75
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $63.07 / $63.07 / $89.00	Facility	26	$63.07	$63.07	$89.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.29 / $226.83 / $510.00	Professional		$223.29	$226.83	$510.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $63.10 / $89.00	Professional	26	$61.46	$63.10	$89.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $160.19 / $163.76 / $421.00	Professional	TC	$160.19	$163.76	$421.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $344.37 / $617.53	Professional		$226.21	$344.37	$617.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $74.11 / $124.32	Professional	26	$58.62	$74.11	$124.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.57 / $255.23 / $494.43	Professional	TC	$165.57	$255.23	$494.43