Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.27 / $137.91 / $249.47	Facility	26	$107.27	$137.91	$249.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.99 / $468.17 / $2,260.39	Professional		$351.99	$468.17	$2,260.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.17 / $145.65 / $513.24	Professional	26	$102.17	$145.65	$513.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.81 / $299.00 / $462.42	Professional	TC	$246.81	$299.00	$462.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $264.00 / $309.58	Professional		$224.15	$264.00	$309.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.92 / $144.33 / $192.44	Professional	26	$78.92	$144.33	$192.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $172.04 / $172.04 / $172.04	Professional	TC	$172.04	$172.04	$172.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $351.92 / $557.76 / $1,744.50	Professional		$351.92	$557.76	$1,744.50
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $107.77 / $164.74 / $250.65	Professional	26	$107.77	$164.74	$250.65
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $244.15 / $393.00 / $1,553.76	Professional	TC	$244.15	$393.00	$1,553.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.06 / $695.38 / $1,329.20	Professional		$327.06	$695.38	$1,329.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.39 / $124.66 / $200.61	Professional	26	$73.39	$124.66	$200.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.56 / $569.07 / $1,156.65	Professional	TC	$238.56	$569.07	$1,156.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.01 / $533.80 / $2,199.78	Professional		$402.01	$533.80	$2,199.78
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.80 / $133.99 / $211.24	Professional	26	$111.80	$133.99	$211.24
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $276.51 / $344.34 / $490.51	Professional	TC	$276.51	$344.34	$490.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.67 / $430.78 / $861.22	Professional		$362.67	$430.78	$861.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.91 / $123.52 / $189.51	Professional	26	$112.91	$123.52	$189.51
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $362.80 / $435.35 / $435.35	Professional	TC	$362.80	$435.35	$435.35
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $107.27 / $145.29 / $374.22	Facility	26	$107.27	$145.29	$374.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $351.99 / $475.00 / $1,754.00	Professional		$351.99	$475.00	$1,754.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $102.17 / $151.87 / $439.23	Professional	26	$102.17	$151.87	$439.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $249.82 / $329.16 / $729.56	Professional	TC	$249.82	$329.16	$729.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $383.63 / $742.09	Professional		$116.43	$383.63	$742.09
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.73 / $116.17 / $116.17	Facility	26	$70.73	$116.17	$116.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $643.98 / $1,320.05	Professional		$329.93	$643.98	$1,320.05
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $124.02 / $200.61	Professional	26	$76.38	$124.02	$200.61
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $239.79 / $532.33 / $1,134.97	Professional	TC	$239.79	$532.33	$1,134.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $100.58 / $100.58 / $112.83	Facility	26	$100.58	$100.58	$112.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $335.39 / $340.51 / $1,036.00	Professional		$335.39	$340.51	$1,036.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $98.01 / $100.62 / $112.83	Professional	26	$98.01	$100.62	$112.83
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $234.77 / $239.93 / $923.17	Professional	TC	$234.77	$239.93	$923.17
United Facility/Professional Professional Modifier Low / Median / High Price $338.04 / $495.14 / $1,015.66	Professional		$338.04	$495.14	$1,015.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.87 / $120.24 / $212.11	Professional	26	$94.87	$120.24	$212.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.35 / $343.43 / $835.75	Professional	TC	$241.35	$343.43	$835.75