Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.82 / $12.16 / $30.26	Facility	26	$9.82	$12.16	$30.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $38.92 / $151.59	Professional		$31.74	$38.92	$151.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.77 / $31.65	Professional	26	$9.11	$11.77	$31.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $27.69 / $60.32	Professional	TC	$22.37	$27.69	$60.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.94 / $32.61	Professional		$22.79	$27.94	$32.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $15.97 / $19.62	Professional	26	$7.89	$15.97	$19.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $28.93 / $28.93	Professional	TC	$28.93	$28.93	$28.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $56.16 / $94.61	Professional		$36.46	$56.16	$94.61
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $16.85 / $29.47	Professional	26	$10.40	$16.85	$29.47
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $38.15 / $65.16	Professional	TC	$26.07	$38.15	$65.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $46.95 / $73.14	Professional		$29.69	$46.95	$73.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $14.19 / $23.14	Professional	26	$8.11	$14.19	$23.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $33.19 / $52.89	Professional	TC	$21.00	$33.19	$52.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $51.44 / $61.20	Professional		$42.61	$51.44	$61.20
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $13.68 / $21.58	Professional	26	$11.39	$13.68	$21.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.23 / $38.79 / $55.22	Professional	TC	$31.23	$38.79	$55.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $43.15 / $45.67	Professional		$38.44	$43.15	$45.67
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $12.52 / $18.95	Professional	26	$11.07	$12.52	$18.95
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.62 / $46.62 / $46.62	Professional	TC	$46.62	$46.62	$46.62
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $13.35 / $32.61	Facility	26	$9.36	$13.35	$32.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $43.05 / $108.19	Professional		$33.06	$43.05	$108.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $13.24 / $31.21	Professional	26	$9.36	$13.24	$31.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $30.45 / $64.54	Professional	TC	$23.49	$30.45	$64.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $53.80 / $85.20	Professional		$27.68	$53.80	$85.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $11.95 / $11.95	Facility	26	$8.11	$11.95	$11.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $46.81 / $73.14	Professional		$30.09	$46.81	$73.14
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $14.19 / $23.30	Professional	26	$8.36	$14.19	$23.30
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $33.14 / $52.89	Professional	TC	$21.29	$33.14	$52.89
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $10.29 / $13.50	Facility	26	$10.29	$10.29	$13.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $36.21 / $44.00	Professional		$35.68	$36.21	$44.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $10.29 / $13.50	Professional	26	$10.03	$10.29	$13.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $25.92 / $30.50	Professional	TC	$25.39	$25.92	$30.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $40.65 / $68.67	Professional		$31.82	$40.65	$68.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.57 / $21.14	Professional	26	$10.19	$12.57	$21.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $28.28 / $45.67	Professional	TC	$22.07	$28.28	$45.67