Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.22 / $63.58 / $143.24	Facility	26	$48.22	$63.58	$143.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $315.18 / $541.27	Professional		$269.83	$315.18	$541.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.95 / $51.85 / $246.00	Professional	26	$42.95	$51.85	$246.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.55 / $266.31 / $466.02	Professional	TC	$229.55	$266.31	$466.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $40.18 / $93.20	Professional	26	$36.79	$40.18	$93.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $285.24 / $514.96 / $604.55	Professional		$285.24	$514.96	$604.55
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $49.40 / $83.99 / $99.90	Professional	26	$49.40	$83.99	$99.90
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $235.84 / $431.30 / $505.86	Professional	TC	$235.84	$431.30	$505.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.82 / $56.82 / $56.82	Facility	26	$56.82	$56.82	$56.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $376.12 / $604.84	Professional		$236.84	$376.12	$604.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $60.58 / $95.77	Professional	26	$35.36	$60.58	$95.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.12 / $316.69 / $507.56	Professional	TC	$200.12	$316.69	$507.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.15 / $416.15 / $463.39	Professional		$416.15	$416.15	$463.39
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.76 / $64.76 / $72.18	Professional	26	$64.76	$64.76	$72.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $351.39 / $351.39 / $391.21	Professional	TC	$351.39	$351.39	$391.21
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $51.85 / $87.03	Professional	26	$49.02	$51.85	$87.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $48.22 / $70.36 / $154.34	Facility	26	$48.22	$70.36	$154.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $337.90 / $683.10	Professional		$274.01	$337.90	$683.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.02 / $57.80 / $233.63	Professional	26	$44.02	$57.80	$233.63
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $231.16 / $287.89 / $466.02	Professional	TC	$231.16	$287.89	$466.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $56.82 / $56.82 / $56.82	Facility	26	$56.82	$56.82	$56.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.69 / $387.46 / $624.98	Professional		$238.69	$387.46	$624.98
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.82 / $62.49 / $97.83	Professional	26	$35.82	$62.49	$97.83
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $201.48 / $327.62 / $523.37	Professional	TC	$201.48	$327.62	$523.37
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.77 / $48.87 / $48.87	Facility	26	$45.77	$48.87	$48.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $295.13 / $321.67	Professional		$276.88	$295.13	$321.67
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.77 / $48.87 / $50.57	Professional	26	$45.77	$48.87	$50.57
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $231.11 / $246.26 / $271.10	Professional	TC	$231.11	$246.26	$271.10
United Facility/Professional Professional Modifier Low / Median / High Price $292.61 / $376.44 / $599.85	Professional		$292.61	$376.44	$599.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $59.15 / $97.53	Professional	26	$47.58	$59.15	$97.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.03 / $315.45 / $502.32	Professional	TC	$245.03	$315.45	$502.32