Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $12.41 / $27.05	Facility	26	$8.56	$12.41	$27.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $36.09 / $73.92	Professional		$29.87	$36.09	$73.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.56 / $20.52	Professional	26	$7.40	$8.56	$20.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.22 / $56.30	Professional	TC	$21.94	$27.22	$56.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $23.01 / $23.01	Professional		$23.01	$23.01	$23.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.74 / $6.90	Professional	26	$6.61	$6.74	$6.90
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $48.71 / $60.72	Professional		$37.32	$48.71	$60.72
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.12 / $21.12	Professional	26	$8.71	$14.12	$21.12
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $32.61 / $46.60	Professional	TC	$28.61	$32.61	$46.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $41.76 / $67.77	Professional		$27.97	$41.76	$67.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $10.75 / $17.30	Professional	26	$6.71	$10.75	$17.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.26 / $29.91 / $53.11	Professional	TC	$20.26	$29.91	$53.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $50.15 / $60.52	Professional		$35.85	$50.15	$60.52
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 $34.26 / $42.59 / $60.63	Professional	TC	$34.26	$42.59	$60.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Professional		$47.26	$47.26	$47.26
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.55 / $14.35	Professional	26	$9.55	$9.55	$14.35
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $13.01 / $27.39	Facility	26	$8.56	$13.01	$27.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $38.95 / $89.57	Professional		$31.68	$38.95	$89.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.77 / $9.40 / $23.29	Professional	26	$7.77	$9.40	$23.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $30.39 / $65.03	Professional	TC	$23.96	$30.39	$65.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $36.60 / $97.50	Professional		$36.60	$36.60	$97.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.99 / $10.01 / $10.01	Facility	26	$5.99	$10.01	$10.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $40.49 / $67.45	Professional		$27.88	$40.49	$67.45
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $10.69 / $17.36	Professional	26	$6.79	$10.69	$17.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.26 / $30.11 / $51.77	Professional	TC	$20.26	$30.11	$51.77
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $10.00	Facility	26	$8.61	$8.61	$10.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.07 / $40.27	Professional		$30.00	$37.07	$40.27
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $8.61 / $10.00	Professional	26	$8.40	$8.61	$10.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.00 / $28.45 / $31.32	Professional	TC	$20.00	$28.45	$31.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $38.72 / $66.65	Professional		$28.03	$38.72	$66.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $9.86 / $17.25	Professional	26	$8.01	$9.86	$17.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $29.19 / $48.78	Professional	TC	$21.35	$29.19	$48.78