Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.56 / $101.62 / $239.32	Facility	26	$80.56	$101.62	$239.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $427.94 / $2,250.00	Professional		$342.85	$427.94	$2,250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $78.04 / $209.34	Professional	26	$64.59	$78.04	$209.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $317.57 / $596.71	Professional	TC	$274.27	$317.57	$596.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $119.87 / $137.68	Professional	26	$68.40	$119.87	$137.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $652.11 / $746.98	Professional		$374.92	$652.11	$746.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $122.99 / $151.02	Professional	26	$72.97	$122.99	$151.02
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $301.95 / $528.37 / $606.39	Professional	TC	$301.95	$528.37	$606.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.07 / $461.10 / $836.62	Professional		$313.07	$461.10	$836.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $90.44 / $144.41	Professional	26	$55.22	$90.44	$144.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.99 / $380.94 / $687.83	Professional	TC	$255.99	$380.94	$687.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $545.40 / $607.29	Professional		$545.40	$545.40	$607.29
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $106.45	Professional	26	$95.50	$95.50	$106.45
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $449.90 / $449.90 / $500.84	Professional	TC	$449.90	$449.90	$500.84
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $78.66 / $119.38	Professional	26	$72.02	$78.66	$119.38
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $80.56 / $109.00 / $257.86	Facility	26	$80.56	$109.00	$257.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $473.08 / $2,247.00	Professional		$352.79	$473.08	$2,247.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $80.59 / $183.66	Professional	26	$68.59	$80.59	$183.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $284.86 / $383.99 / $596.71	Professional	TC	$284.86	$383.99	$596.71
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $470.63 / $892.08	Professional		$315.95	$470.63	$892.08
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $95.89 / $148.80	Professional	26	$55.22	$95.89	$148.80
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $255.99 / $385.85 / $722.80	Professional	TC	$255.99	$385.85	$722.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $71.18 / $72.19 / $72.19	Facility	26	$71.18	$72.19	$72.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $388.95 / $423.35	Professional		$344.83	$388.95	$423.35
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $70.42 / $72.19 / $74.64	Professional	26	$70.42	$72.19	$74.64
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $273.64 / $316.76 / $348.71	Professional	TC	$273.64	$316.76	$348.71
United Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $478.74 / $771.31	Professional		$369.94	$478.74	$771.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $93.82 / $146.33	Professional	26	$69.67	$93.82	$146.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $304.14 / $394.00 / $660.16	Professional	TC	$304.14	$394.00	$660.16