Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $164.84 / $1,034.46	Facility	26	$158.49	$164.84	$1,034.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $267.06 / $579.23	Professional		$226.73	$267.06	$579.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.68 / $158.68 / $339.71	Professional	26	$140.68	$158.68	$339.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.71 / $104.53 / $155.57	Professional	TC	$84.71	$104.53	$155.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $234.08 / $264.07	Professional		$166.03	$234.08	$264.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $188.88 / $237.01 / $291.22	Professional	26	$188.88	$237.01	$291.22
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $364.34 / $490.18	Professional		$238.26	$364.34	$490.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $154.35 / $230.77 / $298.89	Professional	26	$154.35	$230.77	$298.89
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $83.91 / $133.58 / $191.26	Professional	TC	$83.91	$133.58	$191.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.41 / $176.41 / $176.41	Facility	26	$176.41	$176.41	$176.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $304.76 / $551.83	Professional		$123.48	$304.76	$551.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.01 / $202.81 / $348.23	Professional	26	$147.01	$202.81	$348.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.12 / $131.74 / $218.92	Professional	TC	$83.12	$131.74	$218.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $359.63 / $483.93	Professional		$244.94	$359.63	$483.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $152.30 / $224.79 / $304.27	Professional	26	$152.30	$224.79	$304.27
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $92.64 / $134.85 / $175.55	Professional	TC	$92.64	$134.85	$175.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $279.14 / $402.70	Professional		$181.62	$279.14	$402.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $170.25 / $187.28 / $285.75	Professional	26	$170.25	$187.28	$285.75
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $150.94 / $203.78 / $1,034.46	Facility	26	$150.94	$203.78	$1,034.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $237.48 / $313.30 / $691.63	Professional		$237.48	$313.30	$691.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $144.26 / $190.49 / $386.69	Professional	26	$144.26	$190.49	$386.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $88.22 / $112.25 / $210.60	Professional	TC	$88.22	$112.25	$210.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $238.31 / $435.95	Professional		$99.63	$238.31	$435.95
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $176.41 / $176.41 / $176.41	Facility	26	$176.41	$176.41	$176.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $303.44 / $559.92	Professional		$116.06	$303.44	$559.92
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.94 / $202.30 / $362.92	Professional	26	$147.94	$202.30	$362.92
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.07 / $130.50 / $234.15	Professional	TC	$84.07	$130.50	$234.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $140.88 / $151.82 / $151.82	Facility	26	$140.88	$151.82	$151.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $239.70 / $254.84	Professional		$235.75	$239.70	$254.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $148.38 / $151.82 / $158.09	Professional	26	$148.38	$151.82	$158.09
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $86.02 / $87.88 / $96.75	Professional	TC	$86.02	$87.88	$96.75
United Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $289.13 / $493.61	Professional		$229.78	$289.13	$493.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $144.40 / $181.71 / $306.75	Professional	26	$144.40	$181.71	$306.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.99 / $115.75 / $195.72	Professional	TC	$86.99	$115.75	$195.72