Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.10 / $13.75 / $33.00	Facility	26	$11.10	$13.75	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $41.72 / $194.04	Professional		$35.58	$41.72	$194.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.77 / $32.54	Professional	26	$9.98	$11.77	$32.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $29.85 / $65.05	Professional	TC	$24.79	$29.85	$65.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $41.44	Professional		$32.38	$32.38	$41.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $9.66 / $12.49	Professional	26	$9.09	$9.66	$12.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $59.68 / $80.64	Professional		$42.26	$59.68	$80.64
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $19.04 / $29.47	Professional	26	$12.06	$19.04	$29.47
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $40.84 / $51.20	Professional	TC	$30.20	$40.84	$51.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $48.65 / $79.55	Professional		$32.49	$48.65	$79.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $14.79 / $23.31	Professional	26	$9.19	$14.79	$23.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.14 / $33.13 / $56.74	Professional	TC	$22.14	$33.13	$56.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $56.51 / $68.00	Professional		$45.13	$56.51	$68.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $15.91 / $25.06	Professional	26	$13.23	$15.91	$25.06
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.17 / $44.96 / $64.00	Professional	TC	$36.17	$44.96	$64.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $50.02 / $52.94	Professional		$48.10	$50.02	$52.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $13.82 / $19.04	Professional	26	$12.85	$13.82	$19.04
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.25 / $35.25 / $35.25	Professional	TC	$35.25	$35.25	$35.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.97 / $17.18 / $36.31	Facility	26	$10.97	$17.18	$36.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $45.98 / $130.59	Professional		$36.17	$45.98	$130.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $13.43 / $33.89	Professional	26	$10.45	$13.43	$33.89
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $26.19 / $32.78 / $70.14	Professional	TC	$26.19	$32.78	$70.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $112.20	Professional		$45.60	$45.60	$112.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $13.50 / $13.50	Facility	26	$8.11	$13.50	$13.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $48.08 / $78.63	Professional		$32.95	$48.08	$78.63
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $14.79 / $24.17	Professional	26	$9.24	$14.79	$24.17
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.13 / $33.13 / $54.65	Professional	TC	$23.13	$33.13	$54.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $11.62 / $13.50	Facility	26	$11.62	$11.62	$13.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $41.65 / $45.10	Professional		$37.50	$41.65	$45.10
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $11.62 / $13.50	Professional	26	$11.34	$11.62	$13.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $30.03 / $33.06	Professional	TC	$24.00	$30.03	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $43.86 / $76.45	Professional		$32.45	$43.86	$76.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $13.98 / $24.24	Professional	26	$11.38	$13.98	$24.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $30.88 / $55.00	Professional	TC	$24.61	$30.88	$55.00