Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $9.77 / $23.32	Facility	26	$7.90	$9.77	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $31.75 / $148.00	Professional		$26.48	$31.75	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.24 / $19.07	Professional	26	$7.11	$8.24	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.21 / $44.96	Professional	TC	$18.55	$23.21	$44.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.27 / $30.65	Professional		$19.30	$22.27	$30.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.83 / $14.73	Professional	26	$6.48	$7.83	$14.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $45.86 / $55.20	Professional		$31.26	$45.86	$55.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.57 / $20.23	Professional	26	$8.36	$13.57	$20.23
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $32.88 / $39.75	Professional	TC	$22.89	$32.88	$39.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $38.21 / $59.28	Professional		$25.05	$38.21	$59.28
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 $17.91 / $27.60 / $44.05	Professional	TC	$17.91	$27.60	$44.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $41.91 / $50.60	Professional		$36.03	$41.91	$50.60
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 $27.42 / $34.06 / $48.47	Professional	TC	$27.42	$34.06	$48.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $35.61 / $35.61	Professional		$35.61	$35.61	$35.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $9.86 / $13.28	Professional	26	$9.18	$9.86	$13.28
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.38 / $34.38 / $34.38	Professional	TC	$34.38	$34.38	$34.38
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $11.92 / $26.37	Facility	26	$7.90	$11.92	$26.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $34.36 / $97.50	Professional		$27.45	$34.36	$97.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $9.27 / $21.35	Professional	26	$7.47	$9.27	$21.35
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $24.98 / $63.99	Professional	TC	$19.64	$24.98	$63.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $40.70 / $69.50	Professional		$24.30	$40.70	$69.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.61 / $9.61	Facility	26	$5.76	$9.61	$9.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $37.75 / $58.75	Professional		$25.39	$37.75	$58.75
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 $18.44 / $27.53 / $43.90	Professional	TC	$18.44	$27.53	$43.90
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 $30.59 / $31.04 / $33.65	Professional		$30.59	$31.04	$33.65
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 $22.30 / $22.75 / $25.06	Professional	TC	$22.30	$22.75	$25.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $32.44 / $55.84	Professional		$26.84	$32.44	$55.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.51 / $16.32	Professional	26	$7.90	$9.51	$16.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $24.11 / $39.51	Professional	TC	$18.87	$24.11	$39.51