Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $207.99 / $287.23 / $701.38	Facility	26	$207.99	$287.23	$701.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $507.59 / $1,248.39	Professional		$402.47	$507.59	$1,248.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $195.86 / $287.35 / $933.32	Professional	26	$195.86	$287.35	$933.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.12 / $270.72 / $706.56	Professional	TC	$199.12	$270.72	$706.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $367.94 / $373.75	Professional		$367.94	$367.94	$373.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $179.79 / $321.48 / $417.92	Professional	26	$179.79	$321.48	$417.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $464.28 / $766.77 / $1,009.58	Professional		$464.28	$766.77	$1,009.58
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $227.18 / $355.46 / $496.80	Professional	26	$227.18	$355.46	$496.80
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $237.10 / $397.90 / $534.99	Professional	TC	$237.10	$397.90	$534.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.39 / $256.39 / $256.39	Facility	26	$256.39	$256.39	$256.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $586.87 / $900.87	Professional		$380.95	$586.87	$900.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $180.05 / $274.33 / $431.19	Professional	26	$180.05	$274.33	$431.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.90 / $310.55 / $477.35	Professional	TC	$200.90	$310.55	$477.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $534.97 / $627.40 / $732.41	Professional		$534.97	$627.40	$732.41
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $250.96 / $303.01 / $337.84	Professional	26	$250.96	$303.01	$337.84
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $284.02 / $353.06 / $394.57	Professional	TC	$284.02	$353.06	$394.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.60 / $483.54 / $865.10	Professional		$461.60	$483.54	$865.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $227.60 / $264.00 / $361.21	Professional	26	$227.60	$264.00	$361.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $207.99 / $334.32 / $764.94	Facility	26	$207.99	$334.32	$764.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $422.57 / $540.04 / $1,248.39	Professional		$422.57	$540.04	$1,248.39
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $200.11 / $315.62 / $620.00	Professional	26	$200.11	$315.62	$620.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $214.12 / $297.79 / $706.56	Professional	TC	$214.12	$297.79	$706.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.05 / $464.10 / $966.06	Professional		$331.05	$464.10	$966.06
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $256.39 / $256.39 / $256.39	Facility	26	$256.39	$256.39	$256.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $386.42 / $588.49 / $917.14	Professional		$386.42	$588.49	$917.14
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $191.05 / $275.20 / $437.62	Professional	26	$191.05	$275.20	$437.62
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $212.60 / $311.26 / $495.98	Professional	TC	$212.60	$311.26	$495.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $212.50 / $221.41 / $221.41	Facility	26	$212.50	$221.41	$221.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $447.71 / $479.99	Professional		$438.50	$447.71	$479.99
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $212.50 / $221.41 / $230.82	Professional	26	$212.50	$221.41	$230.82
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $221.69 / $226.30 / $249.17	Professional	TC	$221.69	$226.30	$249.17
United Facility/Professional Professional Modifier Low / Median / High Price $428.34 / $547.04 / $910.33	Professional		$428.34	$547.04	$910.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $204.89 / $267.39 / $426.32	Professional	26	$204.89	$267.39	$426.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.45 / $292.16 / $486.68	Professional	TC	$223.45	$292.16	$486.68