Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.05 / $16.42 / $25.36	Facility	26	$12.05	$16.42	$25.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $42.35 / $149.00	Professional		$25.89	$42.35	$149.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $15.12 / $43.18	Professional	26	$11.10	$15.12	$43.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $29.55 / $63.21	Professional	TC	$24.01	$29.55	$63.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $31.34 / $76.84	Professional		$27.43	$31.34	$76.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $14.84 / $21.00	Professional	26	$9.67	$14.84	$21.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $31.06 / $31.06	Professional	TC	$21.52	$31.06	$31.06
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.27 / $99.81	Professional	26	$14.80	$17.27	$99.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $58.90 / $86.85	Professional		$40.72	$58.90	$86.85
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $20.67 / $31.05	Professional	26	$12.75	$20.67	$31.05
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $38.19 / $55.86	Professional	TC	$27.97	$38.19	$55.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $47.91 / $77.66	Professional		$31.57	$47.91	$77.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $15.77 / $25.31	Professional	26	$9.73	$15.77	$25.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $32.28 / $53.73	Professional	TC	$20.99	$32.28	$53.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $54.28 / $65.25	Professional		$45.58	$54.28	$65.25
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $16.78 / $26.49	Professional	26	$13.94	$16.78	$26.49
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $41.65 / $59.27	Professional	TC	$33.50	$41.65	$59.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $50.91 / $55.89	Professional		$46.28	$50.91	$55.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $15.35 / $20.12	Professional	26	$13.44	$15.35	$20.12
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.68 / $35.95 / $50.42	Professional	TC	$32.68	$35.95	$50.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $17.00 / $31.27	Professional	26	$14.26	$17.00	$31.27
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $16.12 / $39.44	Facility	26	$11.48	$16.12	$39.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $46.15 / $118.00	Professional		$25.89	$46.15	$118.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.72 / $36.81	Professional	26	$11.48	$16.72	$36.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $33.13 / $66.59	Professional	TC	$24.12	$33.13	$66.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $42.68 / $77.23	Professional		$14.17	$42.68	$77.23
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.82 / $14.65 / $14.65	Facility	26	$8.82	$14.65	$14.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $47.91 / $76.75	Professional		$31.63	$47.91	$76.75
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $15.72 / $25.58	Professional	26	$9.83	$15.72	$25.58
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $32.70 / $53.76	Professional	TC	$21.40	$32.70	$53.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $14.50	Facility	26	$12.62	$12.62	$14.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $40.75 / $44.05	Professional		$40.15	$40.75	$44.05
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $12.62 / $14.50	Professional	26	$12.32	$12.62	$14.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $28.13 / $30.97	Professional	TC	$26.00	$28.13	$30.97
United Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $44.38 / $75.14	Professional		$35.08	$44.38	$75.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $15.18 / $25.61	Professional	26	$12.11	$15.18	$25.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $29.96 / $48.78	Professional	TC	$23.45	$29.96	$48.78