Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.95 / $126.39 / $149.13	Facility	26	$51.95	$126.39	$149.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $44.42 / $109.07	Professional		$37.08	$44.42	$109.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.83 / $33.79 / $96.06	Professional	26	$24.83	$33.79	$96.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.40 / $15.81 / $38.17	Professional	TC	$12.40	$15.81	$38.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $34.40 / $34.40	Professional	26	$34.40	$34.40	$34.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $56.98 / $92.98	Professional		$54.91	$56.98	$92.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $37.85 / $61.76	Professional	26	$36.47	$37.85	$61.76
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $19.13 / $30.04	Professional	TC	$18.43	$19.13	$30.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.53 / $54.53 / $54.53	Facility	26	$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $35.61 / $74.88	Professional		$24.91	$35.61	$74.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $22.68 / $51.33	Professional	26	$16.72	$22.68	$51.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.19 / $11.84 / $26.43	Professional	TC	$8.19	$11.84	$26.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $79.53 / $104.54	Professional		$34.74	$79.53	$104.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $50.74 / $66.50	Professional	26	$22.39	$50.74	$66.50
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $28.81 / $38.04	Professional	TC	$12.35	$28.81	$38.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $38.85 / $43.13	Professional	26	$36.72	$38.85	$43.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.95 / $149.13 / $149.13	Facility	26	$51.95	$149.13	$149.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $56.56 / $224.88	Professional		$42.97	$56.56	$224.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.33 / $49.73 / $113.31	Professional	26	$29.33	$49.73	$113.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.07 / $19.79 / $75.73	Professional	TC	$14.07	$19.79	$75.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $51.38 / $94.21	Professional		$19.66	$51.38	$94.21
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.53 / $54.53 / $54.53	Facility	26	$54.53	$54.53	$54.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $39.68 / $82.69	Professional		$25.57	$39.68	$82.69
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $28.67 / $52.34	Professional	26	$16.72	$28.67	$52.34
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $12.93 / $27.32	Professional	TC	$8.32	$12.93	$27.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $53.84 / $57.72	Professional		$39.14	$53.84	$57.72
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $31.79 / $36.11 / $37.54	Professional	26	$31.79	$36.11	$37.54
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.38 / $18.25 / $20.19	Professional	TC	$11.38	$18.25	$20.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $55.77 / $84.07	Professional		$30.67	$55.77	$84.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $38.86 / $63.51	Professional	26	$21.38	$38.86	$63.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $16.89 / $27.65	Professional	TC	$9.77	$16.89	$27.65