Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.23 / $9.69 / $23.32	Facility	26	$8.23	$9.69	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.50 / $137.00	Professional		$24.92	$30.50	$137.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $10.88 / $37.19	Professional	26	$7.40	$10.88	$37.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.61 / $49.86	Professional	TC	$17.57	$21.61	$49.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $23.42 / $53.70	Professional		$21.08	$23.42	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.36 / $15.12	Professional	26	$6.74	$9.36	$15.12
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.84 / $74.17	Professional	26	$10.11	$11.84	$74.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $44.04 / $55.86	Professional		$30.33	$44.04	$55.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.38 / $20.14	Professional	26	$8.71	$13.38	$20.14
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $31.52 / $35.72	Professional	TC	$21.61	$31.52	$35.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.02 / $57.28	Professional		$23.32	$35.02	$57.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $10.45 / $16.60	Professional	26	$6.36	$10.45	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $24.18 / $41.53	Professional	TC	$16.17	$24.18	$41.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $40.57 / $48.96	Professional		$30.73	$40.57	$48.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.48 / $18.05	Professional	26	$9.56	$11.48	$18.05
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.91 / $32.15 / $45.76	Professional	TC	$25.91	$32.15	$45.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $37.38 / $39.89	Professional		$34.52	$37.38	$39.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.51 / $14.90	Professional	26	$9.55	$10.51	$14.90
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $25.55 / $32.47	Professional	TC	$24.97	$25.55	$32.47
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.23 / $19.20	Professional	26	$9.18	$11.23	$19.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.14 / $11.21 / $25.42	Facility	26	$8.14	$11.21	$25.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $35.81 / $110.98	Professional		$25.95	$35.81	$110.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $11.50 / $25.42	Professional	26	$7.62	$11.50	$25.42
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.56 / $51.75	Professional	TC	$18.55	$23.56	$51.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $31.10 / $53.18	Professional		$9.25	$31.10	$53.18
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $10.01 / $10.01	Facility	26	$5.76	$10.01	$10.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $34.93 / $55.38	Professional		$23.62	$34.93	$55.38
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $10.45 / $17.00	Professional	26	$6.53	$10.45	$17.00
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $24.18 / $39.69	Professional	TC	$16.73	$24.18	$39.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $8.61 / $9.50	Facility	26	$8.61	$8.61	$9.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.43 / $32.96	Professional		$25.50	$30.43	$32.96
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $8.61 / $9.50	Professional	26	$8.40	$8.61	$9.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $21.81 / $24.01	Professional	TC	$16.00	$21.81	$24.01
United Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $31.47 / $54.45	Professional		$23.29	$31.47	$54.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $10.13 / $17.07	Professional	26	$8.03	$10.13	$17.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $23.29 / $38.01	Professional	TC	$17.25	$23.29	$38.01