Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $245.47 / $467.74	Facility	26	$123.03	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $323.59	Professional	26	$85.11	$141.25	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $776.25	Professional	TC	$257.04	$363.08	$776.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	26	$75.86	$75.86	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $741.31	Professional		$331.13	$338.84	$741.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $87.10 / $173.78	Professional	26	$85.11	$87.10	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $257.04 / $630.96	Professional	TC	$245.47	$257.04	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $95.50 / $138.04	Facility	26	$20.89	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $954.99	Professional		$309.03	$562.34	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $181.97	Professional	26	$64.57	$104.71	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $446.68 / $758.58	Professional	TC	$245.47	$446.68	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $575.44	Professional		$354.81	$457.09	$575.44
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $134.90	Professional	26	$83.18	$109.65	$134.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $346.74 / $436.52	Professional	TC	$269.15	$346.74	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $912.01	Professional		$346.74	$457.09	$912.01
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $181.97	Professional	26	$72.44	$102.33	$181.97
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $691.83	Professional	TC	$257.04	$346.74	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $446.68 / $707.95	Professional		$123.03	$446.68	$707.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $97.72 / $131.83	Professional	26	$93.33	$97.72	$131.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $229.09 / $426.58	Facility	26	$123.03	$229.09	$426.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,230.27	Professional		$354.81	$549.54	$1,230.27
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $275.42	Professional	26	$85.11	$138.04	$275.42
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $812.83	Professional	TC	$263.03	$389.05	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $676.08 / $831.76	Professional		$181.97	$676.08	$831.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $91.20 / $91.20	Facility	26	$83.18	$91.20	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $467.74	Professional		$245.47	$331.13	$467.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $85.11 / $91.20	Professional	26	$81.28	$85.11	$91.20
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $257.04 / $416.87	Professional	TC	$245.47	$257.04	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $741.31	Professional		$316.23	$446.68	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $154.88	Professional	26	$69.18	$93.33	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $602.56	Professional	TC	$234.42	$354.81	$602.56