Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.72 / $14.52 / $34.10	Facility	26	$11.72	$14.52	$34.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $45.72 / $167.98	Professional		$38.54	$45.72	$167.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $12.47 / $33.29	Professional	26	$10.55	$12.47	$33.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.88 / $68.17	Professional	TC	$27.55	$31.88	$68.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $36.20 / $44.28	Professional		$27.78	$36.20	$44.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $11.41 / $23.42	Professional	26	$9.42	$11.41	$23.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $65.20 / $75.51	Professional		$45.15	$65.20	$75.51
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $20.12 / $29.70	Professional	26	$12.41	$20.12	$29.70
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $45.07 / $53.84	Professional	TC	$32.72	$45.07	$53.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $53.52 / $86.24	Professional		$35.45	$53.52	$86.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $15.29 / $24.66	Professional	26	$9.66	$15.29	$24.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $37.72 / $62.79	Professional	TC	$24.56	$37.72	$62.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $60.40 / $72.67	Professional		$49.63	$60.40	$72.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $16.34 / $25.78	Professional	26	$13.58	$16.34	$25.78
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.21 / $48.75 / $69.41	Professional	TC	$39.21	$48.75	$69.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $55.33 / $59.09	Professional		$51.42	$55.33	$59.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $14.61 / $19.60	Professional	26	$13.59	$14.61	$19.60
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.13 / $50.13 / $50.13	Professional	TC	$50.13	$50.13	$50.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.72 / $16.19 / $38.43	Facility	26	$11.72	$16.19	$38.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $53.98 / $163.07	Professional		$39.19	$53.98	$163.07
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $15.69 / $35.86	Professional	26	$11.08	$15.69	$35.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $36.24 / $89.59	Professional	TC	$28.65	$36.24	$89.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $66.00 / $128.11	Professional		$24.04	$66.00	$128.11
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $14.26 / $14.26	Facility	26	$8.34	$14.26	$14.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $52.75 / $85.30	Professional		$35.76	$52.75	$85.30
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $15.23 / $24.88	Professional	26	$9.66	$15.23	$24.88
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $37.75 / $61.80	Professional	TC	$26.26	$37.75	$61.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.28 / $12.28 / $14.00	Facility	26	$12.28	$12.28	$14.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $45.15 / $48.93	Professional		$44.00	$45.15	$48.93
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $12.28 / $14.00	Professional	26	$11.99	$12.28	$14.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $32.86 / $36.19	Professional	TC	$30.00	$32.86	$36.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $47.36 / $83.61	Professional		$38.45	$47.36	$83.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $14.80 / $24.82	Professional	26	$11.71	$14.80	$24.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $34.24 / $56.78	Professional	TC	$27.70	$34.24	$56.78