Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $147.91 / $331.13	Facility	26	$72.44	$147.91	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $1,445.44	Professional		$190.55	$363.08	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $251.19	Professional	26	$64.57	$109.65	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $181.97 / $380.19	Professional	TC	$123.03	$181.97	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $67.61	Professional	26	$60.26	$60.26	$67.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $457.09	Professional		$213.80	$223.87	$457.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $77.62 / $151.36	Professional	26	$75.86	$77.62	$151.36
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $144.54 / $316.23	Professional	TC	$141.25	$144.54	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $85.11 / $123.03	Facility	26	$18.62	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $512.86	Professional		$181.97	$302.00	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $158.49	Professional	26	$54.95	$93.33	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $204.17 / $331.13	Professional	TC	$123.03	$204.17	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $363.08	Professional		$229.09	$295.12	$363.08
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $120.23	Professional	26	$74.13	$97.72	$120.23
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $194.98 / $245.47	Professional	TC	$154.88	$194.98	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $446.68	Professional		$204.17	$263.03	$446.68
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $158.49	Professional	26	$70.79	$87.10	$158.49
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $177.83 / $295.12	Professional	TC	$131.83	$177.83	$295.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $87.10 / $128.82	Professional	26	$81.28	$87.10	$128.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $141.25 / $416.87	Facility	26	$72.44	$141.25	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $933.25	Professional		$204.17	$371.54	$933.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $112.20 / $223.87	Professional	26	$67.61	$112.20	$223.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $223.87 / $436.52	Professional	TC	$131.83	$223.87	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $416.87	Professional		$131.83	$288.40	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $89.13 / $89.13	Facility	26	$75.86	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $309.03	Professional		$61.66	$125.89	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $75.86 / $89.13	Professional	26	$72.44	$75.86	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $147.91 / $181.97	Professional	TC	$141.25	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $1,023.29	Professional		$213.80	$338.84	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $144.54	Professional	26	$63.10	$81.28	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $218.78 / $891.25	Professional	TC	$141.25	$218.78	$891.25