Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.52 / $12.51 / $30.15	Facility	26	$9.52	$12.51	$30.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $18.98 / $31.06	Professional		$15.04	$18.98	$31.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.73 / $24.46	Professional	26	$8.26	$9.73	$24.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.65 / $9.33 / $14.16	Professional	TC	$6.65	$9.33	$14.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $10.42 / $17.39	Professional	26	$7.74	$10.42	$17.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Professional		$23.77	$23.77	$23.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $28.69 / $54.72	Professional		$18.61	$28.69	$54.72
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $15.74 / $23.69	Professional	26	$10.03	$15.74	$23.69
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $8.59 / $12.94 / $36.71	Professional	TC	$8.59	$12.94	$36.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $26.86 / $43.76	Professional		$15.68	$26.86	$43.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $12.37 / $20.01	Professional	26	$7.60	$12.37	$20.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.57 / $13.24 / $26.87	Professional	TC	$7.57	$13.24	$26.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.03 / $38.92	Professional		$21.38	$26.03	$38.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $13.29 / $20.83	Professional	26	$11.05	$13.29	$20.83
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.32 / $12.74 / $18.07	Professional	TC	$10.32	$12.74	$18.07
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $12.24 / $27.11	Professional	26	$10.07	$12.24	$27.11
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Professional		$23.77	$23.77	$23.77
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.53 / $14.51 / $30.53	Facility	26	$9.53	$14.51	$30.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $21.29 / $38.00	Professional		$15.67	$21.29	$38.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.20 / $25.91	Professional	26	$8.69	$11.20	$25.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $6.93 / $10.83 / $20.82	Professional	TC	$6.93	$10.83	$20.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $40.60 / $53.70	Professional		$39.20	$40.60	$53.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $11.16 / $11.16	Facility	26	$6.70	$11.16	$11.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.06 / $41.90	Professional		$15.85	$26.06	$41.90
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $12.31 / $20.01	Professional	26	$7.82	$12.31	$20.01
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.57 / $13.07 / $26.00	Professional	TC	$7.57	$13.07	$26.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $25.00	Facility	26	$9.61	$9.61	$25.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.51 / $45.00	Professional		$17.17	$17.51	$45.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.61 / $25.00	Professional	26	$9.38	$9.61	$25.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $7.78 / $7.90 / $20.00	Professional	TC	$7.78	$7.90	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.70 / $36.35	Professional		$17.23	$22.70	$36.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $11.58 / $19.72	Professional	26	$9.21	$11.58	$19.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.31 / $10.56 / $18.64	Professional	TC	$7.31	$10.56	$18.64