Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $35.82 / $55.23	Professional		$28.44	$35.82	$55.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $15.42 / $19.32	Professional	26	$13.52	$15.42	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $17.23 / $34.75	Professional	TC	$14.18	$17.23	$34.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.76 / $81.91	Professional		$32.53	$33.76	$81.91
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $16.28 / $38.57	Professional	26	$15.69	$16.28	$38.57
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $17.48 / $40.06	Professional	TC	$16.84	$17.48	$40.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.95 / $17.95 / $17.95	Facility	26	$17.95	$17.95	$17.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $43.47 / $86.81	Professional		$26.15	$43.47	$86.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $18.09 / $34.09	Professional	26	$12.58	$18.09	$34.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $22.83 / $48.28	Professional	TC	$13.51	$22.83	$48.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $45.02 / $67.38	Professional		$38.83	$45.02	$67.38
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $21.53 / $32.22	Professional	26	$17.91	$21.53	$32.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $23.49 / $35.15	Professional	TC	$20.91	$23.49	$35.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.75 / $51.42	Professional		$38.00	$40.75	$51.42
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.02 / $19.02 / $19.02	Professional	26	$19.02	$19.02	$19.02
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $21.45 / $21.45	Professional	TC	$21.45	$21.45	$21.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $37.89 / $88.67	Professional		$28.91	$37.89	$88.67
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $15.67 / $26.76	Professional	26	$13.52	$15.67	$26.76
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $18.13 / $37.11	Professional	TC	$14.18	$18.13	$37.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $70.09 / $70.09	Professional		$70.09	$70.09	$70.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.95 / $17.95 / $17.95	Facility	26	$17.95	$17.95	$17.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $41.43 / $81.41	Professional		$26.09	$41.43	$81.41
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $18.23 / $36.56	Professional	26	$12.55	$18.23	$36.56
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $22.35 / $47.48	Professional	TC	$13.51	$22.35	$47.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $77.59	Facility		$31.96	$31.96	$77.59
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $15.53 / $15.53 / $19.11	Facility	26	$15.53	$15.53	$19.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.96 / $77.59	Professional		$31.50	$31.96	$77.59
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $15.53 / $19.11	Professional	26	$15.20	$15.53	$19.11
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.12 / $16.43 / $58.48	Professional	TC	$16.12	$16.43	$58.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $38.36 / $61.83	Professional		$27.71	$38.36	$61.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $16.82 / $27.84	Professional	26	$12.39	$16.82	$27.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.08 / $19.16 / $35.40	Professional	TC	$14.08	$19.16	$35.40