Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $9.31 / $23.32	Facility	26	$7.90	$9.31	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $37.13 / $170.00	Professional		$29.89	$37.13	$170.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $8.92 / $37.54	Professional	26	$7.23	$8.92	$37.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.65 / $62.27	Professional	TC	$22.57	$27.65	$62.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $28.02 / $35.70	Professional		$25.89	$28.02	$35.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $11.05 / $15.80	Professional	26	$6.48	$11.05	$15.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $51.15 / $63.58	Professional		$36.34	$51.15	$63.58
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.57 / $20.14	Professional	26	$8.36	$13.57	$20.14
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $38.19 / $46.60	Professional	TC	$27.97	$38.19	$46.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $40.94 / $68.95	Professional		$27.43	$40.94	$68.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $10.35 / $16.60	Professional	26	$6.47	$10.35	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $30.34 / $52.39	Professional	TC	$20.32	$30.34	$52.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $48.87 / $59.01	Professional		$35.44	$48.87	$59.01
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $11.05 / $17.34	Professional	26	$9.21	$11.05	$17.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $41.65 / $59.27	Professional	TC	$33.50	$41.65	$59.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $41.51 / $45.66	Professional		$41.49	$41.51	$45.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.69 / $12.55	Professional	26	$8.81	$9.69	$12.55
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $41.49 / $42.49	Professional	TC	$35.95	$41.49	$42.49
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.79 / $26.04	Facility	26	$7.90	$10.79	$26.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $43.35 / $153.00	Professional		$31.39	$43.35	$153.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $10.85 / $24.47	Professional	26	$7.47	$10.85	$24.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $30.94 / $65.03	Professional	TC	$24.28	$30.94	$65.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $38.70 / $79.37	Professional		$31.30	$38.70	$79.37
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.30 / $9.30	Facility	26	$5.76	$9.30	$9.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $40.29 / $66.84	Professional		$27.64	$40.29	$66.84
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $10.27 / $16.71	Professional	26	$6.53	$10.27	$16.71
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $30.34 / $51.77	Professional	TC	$21.11	$30.34	$51.77
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $8.27 / $9.50	Facility	26	$8.27	$8.27	$9.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.72 / $39.93	Professional		$29.00	$36.72	$39.93
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $8.27 / $9.50	Professional	26	$8.07	$8.27	$9.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.45 / $31.32	Professional	TC	$19.50	$28.45	$31.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $37.54 / $65.97	Professional		$27.28	$37.54	$65.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.74 / $16.73	Professional	26	$7.90	$9.74	$16.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $28.65 / $49.24	Professional	TC	$21.54	$28.65	$49.24