Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.13 / $52.91 / $235.18	Facility	26	$47.13	$52.91	$235.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $80.61 / $166.52	Professional		$65.54	$80.61	$166.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $46.47 / $116.46	Professional	26	$37.95	$46.47	$116.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $37.25 / $64.73	Professional	TC	$22.57	$37.25	$64.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $101.03 / $131.03	Professional		$68.20	$101.03	$131.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $57.44	Professional	26	$37.15	$37.15	$57.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $79.72 / $119.17	Professional		$67.76	$79.72	$119.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $42.12 / $77.44	Professional	26	$35.79	$42.12	$77.44
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $37.60 / $52.84	Professional	TC	$30.89	$37.60	$52.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $90.39 / $153.85	Professional		$71.65	$90.39	$153.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $54.28 / $87.48	Professional	26	$39.09	$54.28	$87.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $36.10 / $68.08	Professional	TC	$24.42	$36.10	$68.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $117.74 / $217.54	Professional		$85.31	$117.74	$217.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $58.59 / $108.12	Professional	26	$44.63	$58.59	$108.12
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $59.14 / $109.42	Professional	TC	$40.65	$59.14	$109.42
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.03 / $53.95 / $70.36	Professional	26	$53.03	$53.95	$70.36
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $47.13 / $58.79 / $299.27	Facility	26	$47.13	$58.79	$299.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $101.17 / $204.66	Professional		$67.77	$101.17	$204.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $54.07 / $121.87	Professional	26	$39.19	$54.07	$121.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $41.13 / $79.06	Professional	TC	$23.28	$41.13	$79.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $98.30 / $217.90	Professional		$58.74	$98.30	$217.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $90.39 / $153.40	Professional		$70.63	$90.39	$153.40
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $54.28 / $91.06	Professional	26	$39.09	$54.28	$91.06
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $36.10 / $64.70	Professional	TC	$24.12	$36.10	$64.70
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.78 / $49.50	Facility	26	$40.78	$40.78	$49.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $78.40 / $83.75	Professional		$73.50	$78.40	$83.75
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $40.78 / $49.50	Professional	26	$39.78	$40.78	$49.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $37.61 / $41.41	Professional	TC	$24.00	$37.61	$41.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $79.55 / $136.49	Professional		$65.06	$79.55	$136.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.46 / $51.85 / $85.32	Professional	26	$38.46	$51.85	$85.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $33.56 / $56.61	Professional	TC	$24.07	$33.56	$56.61