Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $9.94 / $14.03	Professional	26	$8.49	$9.94	$14.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $24.60 / $33.31	Professional	TC	$21.48	$24.60	$33.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $11.10 / $20.89	Professional	26	$10.70	$11.10	$20.89
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $26.39 / $43.52	Professional	TC	$25.43	$26.39	$43.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $12.87 / $20.66	Professional	26	$8.08	$12.87	$20.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.68 / $30.92 / $49.42	Professional	TC	$19.68	$30.92	$49.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $14.19 / $22.22	Professional	26	$11.78	$14.19	$22.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $37.85 / $53.88	Professional	TC	$30.46	$37.85	$53.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $10.55 / $19.78	Professional	26	$9.09	$10.55	$19.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $27.22 / $50.00	Professional	TC	$21.81	$27.22	$50.00
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $12.81 / $21.40	Professional	26	$8.09	$12.81	$21.40
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $30.86 / $49.42	Professional	TC	$20.78	$30.86	$49.42
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $10.59 / $11.50	Professional	26	$10.34	$10.59	$11.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $25.60 / $28.19	Professional	TC	$24.00	$25.60	$28.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.36 / $20.94	Professional	26	$9.63	$12.36	$20.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $28.08 / $48.15	Professional	TC	$21.85	$28.08	$48.15