Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.99 / $61.70 / $107.54	Facility	26	$59.99	$61.70	$107.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $434.29 / $688.27	Professional		$382.41	$434.29	$688.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.20 / $63.71 / $219.66	Professional	26	$53.20	$63.71	$219.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $330.06 / $369.51 / $569.92	Professional	TC	$330.06	$369.51	$569.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.81 / $54.81 / $54.81	Professional	26	$54.81	$54.81	$54.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $633.64 / $1,068.13	Professional		$421.28	$633.64	$1,068.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $90.89 / $222.46	Professional	26	$56.40	$90.89	$222.46
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $364.87 / $539.02 / $871.16	Professional	TC	$364.87	$539.02	$871.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $64.81 / $64.81	Facility	26	$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.85 / $562.32 / $971.85	Professional		$394.85	$562.32	$971.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.35 / $88.07 / $145.00	Professional	26	$54.35	$88.07	$145.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.39 / $474.24 / $850.82	Professional	TC	$325.39	$474.24	$850.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.54 / $668.41 / $878.33	Professional		$458.54	$668.41	$878.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $81.27 / $115.60	Professional	26	$63.08	$81.27	$115.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $403.74 / $587.29 / $762.73	Professional	TC	$403.74	$587.29	$762.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.82 / $490.04 / $610.44	Professional		$453.82	$490.04	$610.44
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $80.65 / $97.60	Professional	26	$62.50	$80.65	$97.60
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $419.62 / $419.62 / $419.62	Professional	TC	$419.62	$419.62	$419.62
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $59.99 / $83.78 / $155.37	Facility	26	$59.99	$83.78	$155.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $470.84 / $1,189.95	Professional		$403.39	$470.84	$1,189.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $74.81 / $223.34	Professional	26	$55.81	$74.81	$223.34
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $345.06 / $403.62 / $847.26	Professional	TC	$345.06	$403.62	$847.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.40 / $429.40 / $6,360.00	Professional		$429.40	$429.40	$6,360.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $64.81 / $64.81	Facility	26	$64.81	$64.81	$64.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $397.43 / $560.50 / $971.85	Professional		$397.43	$560.50	$971.85
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.35 / $86.01 / $145.00	Professional	26	$54.35	$86.01	$145.00
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $331.36 / $474.24 / $850.82	Professional	TC	$331.36	$474.24	$850.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $55.49 / $55.49 / $95.31	Facility	26	$55.49	$55.49	$95.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $390.35 / $397.48 / $434.00	Professional		$390.35	$397.48	$434.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $54.19 / $55.49 / $57.46	Professional	26	$54.19	$55.49	$57.46
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $334.96 / $341.99 / $376.54	Professional	TC	$334.96	$341.99	$376.54
United Facility/Professional Professional Modifier Low / Median / High Price $377.63 / $523.59 / $816.78	Professional		$377.63	$523.59	$816.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.34 / $76.50 / $117.63	Professional	26	$53.34	$76.50	$117.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.93 / $413.33 / $675.31	Professional	TC	$301.93	$413.33	$675.31