Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $14.89 / $33.17	Facility	26	$11.16	$14.89	$33.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $52.49 / $238.70	Professional		$43.78	$52.49	$238.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $11.29 / $31.38	Professional	26	$9.69	$11.29	$31.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $38.78 / $78.37	Professional	TC	$32.90	$38.78	$78.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $36.29	Professional		$31.46	$31.46	$36.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $16.53 / $16.53	Professional	26	$8.65	$16.53	$16.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $74.59 / $85.63	Professional		$51.13	$74.59	$85.63
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $18.48 / $27.97	Professional	26	$11.41	$18.48	$27.97
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $53.64 / $64.72	Professional	TC	$39.72	$53.64	$64.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $59.41 / $97.02	Professional		$40.14	$59.41	$97.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $14.46 / $23.25	Professional	26	$8.90	$14.46	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $44.12 / $75.47	Professional	TC	$29.47	$44.12	$75.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $68.70 / $82.77	Professional		$55.42	$68.70	$82.77
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $15.01 / $23.67	Professional	26	$12.49	$15.01	$23.67
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.57 / $59.18 / $84.26	Professional	TC	$47.57	$59.18	$84.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $58.38 / $67.45	Professional		$54.08	$58.38	$67.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $12.98 / $16.39	Professional	26	$11.80	$12.98	$16.39
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $50.51 / $59.67	Professional	TC	$50.49	$50.51	$59.67
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $17.04 / $35.74	Facility	26	$11.16	$17.04	$35.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $59.91 / $202.28	Professional		$44.07	$59.91	$202.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $12.85 / $31.38	Professional	26	$10.17	$12.85	$31.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.38 / $43.01 / $94.13	Professional	TC	$34.38	$43.01	$94.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $56.20 / $144.00	Professional		$56.20	$56.20	$144.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $13.10 / $13.10	Facility	26	$7.88	$13.10	$13.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $58.97 / $96.31	Professional		$40.42	$58.97	$96.31
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $14.34 / $23.47	Professional	26	$8.94	$14.34	$23.47
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $44.12 / $71.91	Professional	TC	$31.40	$44.12	$71.91
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.29 / $11.29 / $13.00	Facility	26	$11.29	$11.29	$13.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $50.80 / $55.20	Professional		$45.50	$50.80	$55.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $11.29 / $13.00	Professional	26	$11.01	$11.29	$13.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $32.50 / $39.51 / $43.50	Professional	TC	$32.50	$39.51	$43.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $53.31 / $91.51	Professional		$41.82	$53.31	$91.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $13.59 / $22.94	Professional	26	$10.98	$13.59	$22.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.92 / $42.79 / $70.34	Professional	TC	$31.92	$42.79	$70.34