Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.67 / $42.95 / $73.50	Facility	26	$32.67	$42.95	$73.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.61 / $313.02 / $534.14	Professional		$267.61	$313.02	$534.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $43.72 / $162.43	Professional	26	$30.39	$43.72	$162.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.49 / $279.17 / $481.78	Professional	TC	$236.49	$279.17	$481.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $37.24 / $65.26	Professional	26	$26.75	$37.24	$65.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $507.29 / $614.41	Professional		$278.37	$507.29	$614.41
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $34.59 / $58.06 / $70.04	Professional	26	$34.59	$58.06	$70.04
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $243.78 / $449.31 / $544.41	Professional	TC	$243.78	$449.31	$544.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.78 / $39.78 / $39.78	Facility	26	$39.78	$39.78	$39.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $380.95 / $603.04	Professional		$234.96	$380.95	$603.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $42.42 / $67.05	Professional	26	$24.84	$42.42	$67.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.42 / $341.61 / $541.46	Professional	TC	$206.42	$341.61	$541.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.59 / $408.59 / $455.36	Professional		$408.59	$408.59	$455.36
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.35 / $45.35 / $51.01	Professional	26	$45.35	$45.35	$51.01
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $363.24 / $363.24 / $404.36	Professional	TC	$363.24	$363.24	$404.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $313.89 / $313.89	Professional		$313.89	$313.89	$313.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $39.97 / $60.98	Professional	26	$35.86	$39.97	$60.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $32.67 / $45.12 / $106.97	Facility	26	$32.67	$45.12	$106.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $345.60 / $776.84	Professional		$272.60	$345.60	$776.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $46.40 / $100.53	Professional	26	$31.12	$46.40	$100.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $238.86 / $310.63 / $597.41	Professional	TC	$238.86	$310.63	$597.41
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.78 / $39.78 / $39.78	Facility	26	$39.78	$39.78	$39.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $385.93 / $631.79	Professional		$241.22	$385.93	$631.79
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $43.80 / $68.67	Professional	26	$25.20	$43.80	$68.67
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $217.35 / $351.55 / $560.53	Professional	TC	$217.35	$351.55	$560.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.08 / $34.21 / $34.21	Facility	26	$32.08	$34.21	$34.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $288.37 / $315.24	Professional		$281.39	$288.37	$315.24
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $34.21 / $35.44	Professional	26	$32.08	$34.21	$35.44
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $248.68 / $254.16 / $279.80	Professional	TC	$248.68	$254.16	$279.80
United Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $366.78 / $583.89	Professional		$287.05	$366.78	$583.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $41.15 / $67.42	Professional	26	$32.89	$41.15	$67.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.16 / $325.58 / $528.85	Professional	TC	$254.16	$325.58	$528.85