Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.72 / $60.07 / $143.12	Facility	26	$46.72	$60.07	$143.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $357.92 / $1,899.00	Professional		$315.77	$357.92	$1,899.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.06 / $51.03 / $145.38	Professional	26	$44.06	$51.03	$145.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.83 / $308.70 / $544.17	Professional	TC	$256.83	$308.70	$544.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $76.42 / $91.55	Professional	26	$38.24	$76.42	$91.55
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $513.79 / $616.73	Professional		$325.02	$513.79	$616.73
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $49.77 / $84.07 / $128.65	Professional	26	$49.77	$84.07	$128.65
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $275.25 / $415.95 / $522.33	Professional	TC	$275.25	$415.95	$522.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.28 / $57.28 / $57.28	Facility	26	$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $408.09 / $642.42	Professional		$260.63	$408.09	$642.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.75 / $60.52 / $95.49	Professional	26	$35.75	$60.52	$95.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $347.57 / $539.89	Professional	TC	$217.19	$347.57	$539.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $475.30 / $528.97	Professional		$475.30	$475.30	$528.97
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $65.15 / $72.59	Professional	26	$65.15	$65.15	$72.59
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $410.15 / $410.15 / $456.38	Professional	TC	$410.15	$410.15	$456.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.51 / $367.51 / $367.51	Professional		$367.51	$367.51	$367.51
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.94 / $63.97 / $81.44	Professional	26	$50.94	$63.97	$81.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.20 / $70.89 / $154.21	Facility	26	$46.20	$70.89	$154.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.99 / $393.21 / $1,094.80	Professional		$315.99	$393.21	$1,094.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $68.91 / $145.38	Professional	26	$45.85	$68.91	$145.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $271.49 / $339.81 / $897.37	Professional	TC	$271.49	$339.81	$897.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $636.66 / $733.07	Professional		$96.41	$636.66	$733.07
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.28 / $57.28 / $57.28	Facility	26	$57.28	$57.28	$57.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $413.94 / $663.86	Professional		$275.55	$413.94	$663.86
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.93 / $63.72 / $97.75	Professional	26	$37.93	$63.72	$97.75
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $233.81 / $351.13 / $557.27	Professional	TC	$233.81	$351.13	$557.27
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.23 / $49.23 / $59.00	Facility	26	$49.23	$49.23	$59.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $338.49 / $369.34	Professional		$310.50	$338.49	$369.34
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $49.23 / $59.00	Professional	26	$48.03	$49.23	$59.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $251.50 / $289.26 / $318.43	Professional	TC	$251.50	$289.26	$318.43
United Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $418.59 / $747.47	Professional		$302.08	$418.59	$747.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.62 / $60.85 / $97.56	Professional	26	$47.62	$60.85	$97.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.67 / $364.93 / $585.59	Professional	TC	$259.67	$364.93	$585.59