Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $13.63 / $30.21	Facility	26	$9.56	$13.63	$30.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $31.12 / $73.40	Professional		$25.05	$31.12	$73.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.47 / $20.84	Professional	26	$7.98	$9.47	$20.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $21.32 / $29.67	Professional	TC	$17.67	$21.32	$29.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.86 / $14.88	Professional	26	$7.36	$8.86	$14.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $32.15 / $52.77	Professional		$30.98	$32.15	$52.77
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $10.05 / $19.55	Professional	26	$9.69	$10.05	$19.55
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $22.10 / $35.20	Professional	TC	$21.30	$22.10	$35.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $38.29 / $59.37	Professional		$25.14	$38.29	$59.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $11.61 / $19.34	Professional	26	$7.26	$11.61	$19.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $26.38 / $42.06	Professional	TC	$16.82	$26.38	$42.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $41.69 / $49.95	Professional		$35.14	$41.69	$49.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $12.85 / $20.13	Professional	26	$10.69	$12.85	$20.13
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $31.69 / $45.10	Professional	TC	$25.53	$31.69	$45.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $38.78 / $38.78	Professional		$38.78	$38.78	$38.78
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $11.31 / $12.30	Professional	26	$10.28	$11.31	$12.30
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $14.53 / $30.59	Facility	26	$9.56	$14.53	$30.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $33.10 / $74.76	Professional		$26.51	$33.10	$74.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.15 / $21.32	Professional	26	$8.39	$10.15	$21.32
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $23.06 / $48.98	Professional	TC	$18.27	$23.06	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $43.20 / $83.42	Professional		$18.82	$43.20	$83.42
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.22 / $10.79 / $10.79	Facility	26	$6.22	$10.79	$10.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $37.64 / $58.80	Professional		$25.22	$37.64	$58.80
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $11.53 / $19.39	Professional	26	$7.46	$11.53	$19.39
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $26.26 / $41.53	Professional	TC	$17.16	$26.26	$41.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $9.59 / $10.50	Facility	26	$9.59	$9.59	$10.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $31.08 / $34.50	Professional		$30.65	$31.08	$34.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $9.59 / $10.50	Professional	26	$9.36	$9.59	$10.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.07 / $21.49 / $24.00	Professional	TC	$21.07	$21.49	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $33.78 / $56.57	Professional		$27.19	$33.78	$56.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $11.20 / $19.07	Professional	26	$8.89	$11.20	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $23.05 / $37.26	Professional	TC	$17.96	$23.05	$37.26