Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $15.70 / $37.29	Facility	26	$12.68	$15.70	$37.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $46.20 / $213.58	Professional		$38.09	$46.20	$213.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.30 / $30.99	Professional	26	$11.40	$13.30	$30.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $31.70 / $64.50	Professional	TC	$26.55	$31.70	$64.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $35.49 / $35.49	Professional		$35.49	$35.49	$35.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $12.57 / $22.11	Professional	26	$10.18	$12.57	$22.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $66.37 / $76.84	Professional		$46.15	$66.37	$76.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $21.74 / $32.21	Professional	26	$13.41	$21.74	$32.21
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $44.54 / $53.84	Professional	TC	$32.72	$44.54	$53.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $53.95 / $88.14	Professional		$35.86	$53.95	$88.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $16.57 / $26.66	Professional	26	$10.24	$16.57	$26.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $38.02 / $62.79	Professional	TC	$24.56	$38.02	$62.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $61.65 / $74.12	Professional		$51.15	$61.65	$74.12
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $17.68 / $27.87	Professional	26	$14.69	$17.68	$27.87
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 $52.71 / $52.88 / $58.17	Professional		$52.71	$52.88	$58.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $15.28 / $19.51	Professional	26	$7.35	$15.28	$19.51
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $19.10 / $41.52	Facility	26	$12.68	$19.10	$41.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $49.77 / $133.72	Professional		$40.04	$49.77	$133.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $16.95 / $35.69	Professional	26	$11.86	$16.95	$35.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $35.85 / $79.09	Professional	TC	$28.00	$35.85	$79.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $55.60 / $103.80	Professional		$14.42	$55.60	$103.80
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.06 / $15.41 / $15.41	Facility	26	$9.06	$15.41	$15.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $53.95 / $87.08	Professional		$36.47	$53.95	$87.08
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $16.45 / $26.93	Professional	26	$10.36	$16.45	$26.93
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $38.15 / $61.80	Professional	TC	$26.26	$38.15	$61.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $13.27 / $15.00	Facility	26	$13.27	$13.27	$15.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $46.15 / $49.96	Professional		$45.44	$46.15	$49.96
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $13.27 / $15.00	Professional	26	$12.96	$13.27	$15.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $32.86 / $36.19	Professional	TC	$30.50	$32.86	$36.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $49.64 / $84.97	Professional		$39.28	$49.64	$84.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $15.89 / $26.54	Professional	26	$12.65	$15.89	$26.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $33.97 / $58.52	Professional	TC	$27.70	$33.97	$58.52