Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.78 / $52.14 / $84.27	Facility	26	$37.78	$52.14	$84.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.85 / $436.79 / $2,111.00	Professional		$359.85	$436.79	$2,111.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.36 / $49.83 / $225.00	Professional	26	$36.36	$49.83	$225.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $322.07 / $387.96 / $654.91	Professional	TC	$322.07	$387.96	$654.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.64 / $336.64 / $336.64	Professional		$336.64	$336.64	$336.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.18 / $63.36 / $79.20	Professional	26	$34.18	$63.36	$79.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $373.49 / $685.40 / $816.44	Professional		$373.49	$685.40	$816.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $70.95 / $84.28	Professional	26	$41.98	$70.95	$84.28
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $331.50 / $614.60 / $734.58	Professional	TC	$331.50	$614.60	$734.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $521.53 / $825.82	Professional		$315.02	$521.53	$825.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.81 / $51.36 / $80.76	Professional	26	$29.81	$51.36	$80.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $280.64 / $474.34 / $741.15	Professional	TC	$280.64	$474.34	$741.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $548.99 / $548.99 / $611.66	Professional		$548.99	$548.99	$611.66
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.08 / $55.08 / $61.62	Professional	26	$55.08	$55.08	$61.62
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $493.91 / $493.91 / $550.04	Professional	TC	$493.91	$493.91	$550.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $43.73 / $60.10	Professional	26	$41.34	$43.73	$60.10
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $37.78 / $54.78 / $129.72	Facility	26	$37.78	$54.78	$129.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $362.83 / $473.61 / $1,806.00	Professional		$362.83	$473.61	$1,806.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.74 / $55.04 / $93.04	Professional	26	$37.74	$55.04	$93.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $324.76 / $425.40 / $769.34	Professional	TC	$324.76	$425.40	$769.34
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $540.41 / $854.51	Professional		$330.33	$540.41	$854.51
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.46 / $52.69 / $83.27	Professional	26	$30.46	$52.69	$83.27
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $300.74 / $482.40 / $771.24	Professional	TC	$300.74	$482.40	$771.24
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $38.59 / $41.53 / $41.53	Facility	26	$38.59	$41.53	$41.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $287.91 / $387.35 / $423.73	Professional		$287.91	$387.35	$423.73
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $41.53 / $43.01	Professional	26	$38.59	$41.53	$43.01
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $249.32 / $345.82 / $380.72	Professional	TC	$249.32	$345.82	$380.72
United Facility/Professional Professional Modifier Low / Median / High Price $387.53 / $495.18 / $799.26	Professional		$387.53	$495.18	$799.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $51.79 / $84.33	Professional	26	$39.63	$51.79	$84.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $344.03 / $443.39 / $722.03	Professional	TC	$344.03	$443.39	$722.03