Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.17 / $133.25 / $249.47	Facility	26	$106.17	$133.25	$249.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.75 / $425.00 / $2,205.48	Professional		$241.75	$425.00	$2,205.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $141.96 / $527.00	Professional	26	$101.97	$141.96	$527.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.16 / $299.00 / $452.58	Professional	TC	$242.16	$299.00	$452.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $254.71 / $292.37	Professional		$222.87	$254.71	$292.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.67 / $119.03 / $168.88	Professional	26	$77.67	$119.03	$168.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $555.69 / $1,743.89	Professional		$362.41	$555.69	$1,743.89
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $111.96 / $165.27 / $249.84	Professional	26	$111.96	$165.27	$249.84
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $250.43 / $390.42 / $1,553.76	Professional	TC	$250.43	$390.42	$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 $328.04 / $723.19 / $1,347.69	Professional		$328.04	$723.19	$1,347.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $124.18 / $201.30	Professional	26	$73.66	$124.18	$201.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.73 / $571.84 / $1,159.54	Professional	TC	$232.73	$571.84	$1,159.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.64 / $530.66 / $2,209.62	Professional		$399.64	$530.66	$2,209.62
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.17 / $134.46 / $211.93	Professional	26	$112.17	$134.46	$211.93
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $273.85 / $341.03 / $485.78	Professional	TC	$273.85	$341.03	$485.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $428.27 / $831.02	Professional		$368.78	$428.27	$831.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.83 / $122.35 / $189.51	Professional	26	$109.83	$122.35	$189.51
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $432.44 / $432.44 / $432.44	Professional	TC	$432.44	$432.44	$432.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $102.50 / $145.74 / $374.22	Facility	26	$102.50	$145.74	$374.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $437.75 / $1,477.00	Professional		$224.83	$437.75	$1,477.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $153.44 / $439.23	Professional	26	$102.50	$153.44	$439.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $248.84 / $321.45 / $729.56	Professional	TC	$248.84	$321.45	$729.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $351.63 / $700.00	Professional		$117.29	$351.63	$700.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.48 / $116.17 / $116.17	Facility	26	$70.48	$116.17	$116.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $667.08 / $1,343.50	Professional		$328.04	$667.08	$1,343.50
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.65 / $123.01 / $206.50	Professional	26	$76.65	$123.01	$206.50
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $232.73 / $542.03 / $1,134.81	Professional	TC	$232.73	$542.03	$1,134.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $100.90 / $100.90 / $114.24	Facility	26	$100.90	$100.90	$114.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.16 / $339.25 / $953.28	Professional		$334.16	$339.25	$953.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $98.33 / $100.93 / $114.24	Professional	26	$98.33	$100.93	$114.24
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $233.23 / $238.35 / $839.04	Professional	TC	$233.23	$238.35	$839.04
United Facility/Professional Professional Modifier Low / Median / High Price $338.65 / $515.14 / $1,017.60	Professional		$338.65	$515.14	$1,017.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.69 / $114.82 / $203.07	Professional	26	$91.69	$114.82	$203.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.96 / $372.98 / $978.05	Professional	TC	$241.96	$372.98	$978.05