Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.12 / $161.13 / $368.66	Facility	26	$124.12	$161.13	$368.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $347.21 / $1,678.41	Professional		$264.70	$347.21	$1,678.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $124.13 / $523.97	Professional	26	$100.31	$124.13	$523.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.21 / $231.31 / $373.84	Professional	TC	$159.21	$231.31	$373.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $245.26 / $311.64	Professional		$197.78	$245.26	$311.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $121.80 / $186.48	Professional	26	$87.34	$121.80	$186.48
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $131.25 / $152.21 / $1,269.69	Professional	26	$131.25	$152.21	$1,269.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $368.09 / $808.39	Professional		$318.75	$368.09	$808.39
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $113.11 / $182.76 / $254.69	Professional	26	$113.11	$182.76	$254.69
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $205.64 / $243.07 / $559.27	Professional	TC	$205.64	$243.07	$559.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $560.04 / $994.07	Professional		$300.70	$560.04	$994.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.70 / $135.93 / $222.47	Professional	26	$79.70	$135.93	$222.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.86 / $395.90 / $721.68	Professional	TC	$200.86	$395.90	$721.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.03 / $507.95 / $1,238.35	Professional		$383.03	$507.95	$1,238.35
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $123.83 / $148.54 / $234.45	Professional	26	$123.83	$148.54	$234.45
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $246.16 / $306.38 / $436.33	Professional	TC	$246.16	$306.38	$436.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.35 / $392.98 / $421.42	Professional		$371.35	$392.98	$421.42
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.43 / $134.68 / $195.44	Professional	26	$118.43	$134.68	$195.44
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $118.83 / $140.16 / $269.79	Professional	26	$118.83	$140.16	$269.79
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $124.12 / $168.48 / $397.22	Facility	26	$124.12	$168.48	$397.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $384.45 / $973.23	Professional		$270.38	$384.45	$973.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $105.48 / $148.33 / $368.66	Professional	26	$105.48	$148.33	$368.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $248.83 / $435.61	Professional	TC	$162.63	$248.83	$435.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $330.80 / $549.07	Professional		$121.35	$330.80	$549.07
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $541.73 / $986.00	Professional		$300.70	$541.73	$986.00
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.44 / $135.01 / $223.22	Professional	26	$81.44	$135.01	$223.22
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $206.54 / $377.99 / $690.31	Professional	TC	$206.54	$377.99	$690.31
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $110.50 / $111.58 / $111.58	Facility	26	$110.50	$111.58	$111.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $276.13 / $280.12 / $526.00	Professional		$276.13	$280.12	$526.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $108.80 / $111.58 / $115.62	Professional	26	$108.80	$111.58	$115.62
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $164.57 / $171.32 / $415.50	Professional	TC	$164.57	$171.32	$415.50
United Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $487.35 / $762.10	Professional		$313.30	$487.35	$762.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.83 / $130.69 / $219.23	Professional	26	$102.83	$130.69	$219.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.37 / $293.63 / $587.94	Professional	TC	$206.37	$293.63	$587.94