Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.84 / $10.58 / $23.32	Facility	26	$7.84	$10.58	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.49 / $142.01	Professional		$25.85	$31.49	$142.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.56 / $38.22	Professional	26	$7.33	$8.56	$38.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.90 / $59.24 / $137.25	Professional	50	$35.90	$59.24	$137.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $22.37 / $34.68	Professional	TC	$18.29	$22.37	$34.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $22.17 / $22.73	Professional		$21.55	$22.17	$22.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.96 / $13.38	Professional	26	$6.61	$8.96	$13.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $25.87 / $25.87	Professional	50	$25.87	$25.87	$25.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $41.97 / $51.39	Professional		$31.92	$41.97	$51.39
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.38 / $20.23	Professional	26	$8.71	$13.38	$20.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $63.83 / $83.91 / $102.76	Professional	50	$63.83	$83.91	$102.76
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $26.53 / $37.26	Professional	TC	$23.20	$26.53	$37.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $35.28 / $57.60	Professional		$23.53	$35.28	$57.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $10.44 / $16.46	Professional	26	$6.35	$10.44	$16.46
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $43.42 / $43.42	Professional	50	$38.29	$43.42	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $25.07 / $43.06	Professional	TC	$16.30	$25.07	$43.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $42.75 / $51.59	Professional		$30.73	$42.75	$51.59
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.48 / $18.05	Professional	26	$9.56	$11.48	$18.05
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $34.54 / $49.15	Professional	TC	$27.80	$34.54	$49.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $33.85 / $35.99	Professional		$33.85	$33.85	$35.99
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $12.07 / $24.62	Professional	26	$9.18	$12.07	$24.62
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $19.64 / $68.04 / $79.18	Professional	50	$19.64	$68.04	$79.18
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $26.10 / $58.99	Professional	TC	$26.10	$26.10	$58.99
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $11.36 / $27.05	Facility	26	$7.83	$11.36	$27.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $34.20 / $126.00	Professional		$26.77	$34.20	$126.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $11.43 / $27.62	Professional	26	$7.62	$11.43	$27.62
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $35.90 / $59.24 / $137.25	Professional	50	$35.90	$59.24	$137.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $24.25 / $53.83	Professional	TC	$19.37	$24.25	$53.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $33.77 / $67.72	Professional		$14.86	$33.77	$67.72
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.67 / $9.67	Facility	26	$5.76	$9.67	$9.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $34.63 / $57.10	Professional		$24.06	$34.63	$57.10
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $10.45 / $16.60	Professional	26	$6.53	$10.45	$16.60
Priority Health Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $43.42 / $46.30	Professional	50	$38.29	$43.42	$46.30
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $25.07 / $41.41	Professional	TC	$17.21	$25.07	$41.41
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $9.50	Facility	26	$8.61	$8.61	$9.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $31.37 / $34.01	Professional		$25.50	$31.37	$34.01
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $8.61 / $9.50	Professional	26	$8.40	$8.61	$9.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $22.75 / $25.06	Professional	TC	$16.00	$22.75	$25.06
United Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $32.79 / $56.37	Professional		$24.12	$32.79	$56.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.46 / $16.09	Professional	26	$7.66	$9.46	$16.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $24.50 / $40.28	Professional	TC	$18.11	$24.50	$40.28