Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.45 / $55.04 / $136.41	Facility	26	$44.45	$55.04	$136.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.43 / $1,591.00	Professional		$267.32	$329.43	$1,591.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $56.19 / $241.00	Professional	26	$41.19	$56.19	$241.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $274.68 / $495.22	Professional	TC	$223.84	$274.68	$495.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.43 / $44.39 / $77.93	Professional	26	$36.43	$44.39	$77.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $393.54 / $623.14	Professional		$298.14	$393.54	$623.14
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $80.59 / $118.64	Professional	26	$47.37	$80.59	$118.64
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $250.77 / $303.24 / $532.08	Professional	TC	$250.77	$303.24	$532.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.48 / $54.48 / $54.48	Facility	26	$54.48	$54.48	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.08 / $365.12 / $615.66	Professional		$239.08	$365.12	$615.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $58.09 / $89.59	Professional	26	$33.36	$58.09	$89.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.99 / $307.55 / $529.19	Professional	TC	$190.99	$307.55	$529.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $435.74 / $435.74 / $485.54	Professional		$435.74	$435.74	$485.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.14 / $62.14 / $69.31	Professional	26	$62.14	$62.14	$69.31
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $373.60 / $373.60 / $416.23	Professional	TC	$373.60	$373.60	$416.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.73 / $52.78 / $95.51	Professional	26	$49.73	$52.78	$95.51
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $44.45 / $61.39 / $145.13	Facility	26	$44.45	$61.39	$145.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $284.91 / $362.09 / $986.81	Professional		$284.91	$362.09	$986.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $63.95 / $151.00	Professional	26	$43.47	$63.95	$151.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $242.57 / $309.91 / $636.24	Professional	TC	$242.57	$309.91	$636.24
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.48 / $54.48 / $54.48	Facility	26	$54.48	$54.48	$54.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $372.27 / $617.83	Professional		$248.51	$372.27	$617.83
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.76 / $59.10 / $93.18	Professional	26	$36.76	$59.10	$93.18
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $197.08 / $317.68 / $532.72	Professional	TC	$197.08	$317.68	$532.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $46.86 / $46.86 / $54.50	Facility	26	$46.86	$46.86	$54.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.99 / $307.66 / $335.62	Professional		$301.99	$307.66	$335.62
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $46.86 / $54.50	Professional	26	$45.72	$46.86	$54.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $250.50 / $260.80 / $287.11	Professional	TC	$250.50	$260.80	$287.11
United Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $371.27 / $622.72	Professional		$267.20	$371.27	$622.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.43 / $56.78 / $93.58	Professional	26	$45.43	$56.78	$93.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.78 / $329.82 / $537.09	Professional	TC	$243.78	$329.82	$537.09