Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $105.24 / $142.68	Professional		$92.94	$105.24	$142.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.05 / $78.58 / $119.95	Professional	26	$70.05	$78.58	$119.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $29.51 / $36.77	Professional	TC	$19.69	$29.51	$36.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $107.46 / $198.65	Professional		$103.55	$107.46	$198.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $75.91 / $78.77 / $156.80	Professional	26	$75.91	$78.77	$156.80
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $28.70 / $49.19	Professional	TC	$27.66	$28.70	$49.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $113.65 / $208.20	Professional		$91.27	$113.65	$208.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $87.64 / $168.85	Professional	26	$67.50	$87.64	$168.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $28.66 / $51.57	Professional	TC	$18.29	$28.66	$51.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $143.04 / $214.07	Professional		$120.54	$143.04	$214.07
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $104.43 / $156.28	Professional	26	$86.24	$104.43	$156.28
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $38.63 / $57.81	Professional	TC	$34.29	$38.63	$57.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $132.93 / $146.22	Professional		$112.47	$132.93	$146.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.15 / $94.30 / $158.28	Professional	26	$89.15	$94.30	$158.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $110.69 / $188.35	Professional		$94.37	$110.69	$188.35
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $82.15 / $161.63	Professional	26	$71.61	$82.15	$161.63
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $30.96 / $58.09	Professional	TC	$19.87	$30.96	$58.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $74.30 / $107.40	Professional		$22.25	$74.30	$107.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $116.06 / $208.87	Professional		$89.39	$116.06	$208.87
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.48 / $88.11 / $172.63	Professional	26	$67.48	$88.11	$172.63
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $28.70 / $51.57	Professional	TC	$18.29	$28.70	$51.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $75.77 / $75.77 / $80.00	Facility	26	$75.77	$75.77	$80.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $105.80 / $111.94	Professional		$104.01	$105.80	$111.94
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $74.18 / $75.77 / $80.00	Professional	26	$74.18	$75.77	$80.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $30.03 / $33.06	Professional	TC	$25.00	$30.03	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $104.18 / $198.99	Professional		$78.22	$104.18	$198.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $79.88 / $148.15	Professional	26	$63.98	$79.88	$148.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $26.38 / $49.40	Professional	TC	$16.03	$26.38	$49.40