Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.39 / $17.39 / $36.19	Facility	26	$12.39	$17.39	$36.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $42.41 / $205.00	Professional		$36.24	$42.41	$205.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.44 / $34.22	Professional	26	$11.50	$13.44	$34.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $28.75 / $61.20	Professional	TC	$23.67	$28.75	$61.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $32.59 / $41.47	Professional		$26.07	$32.59	$41.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $14.18 / $19.91	Professional	26	$10.36	$14.18	$19.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $43.96 / $70.17	Professional		$42.36	$43.96	$70.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $14.28 / $26.88	Professional	26	$13.76	$14.28	$26.88
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $29.69 / $47.11	Professional	TC	$28.61	$29.69	$47.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $51.27 / $80.28	Professional		$33.40	$51.27	$80.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $16.22 / $26.00	Professional	26	$10.02	$16.22	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $34.79 / $55.46	Professional	TC	$21.84	$34.79	$55.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $56.41 / $67.75	Professional		$47.19	$56.41	$67.75
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $18.10 / $28.58	Professional	26	$15.05	$18.10	$28.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $42.59 / $60.63	Professional	TC	$34.26	$42.59	$60.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $48.47 / $55.58	Professional		$45.82	$48.47	$55.58
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $15.67 / $17.39	Professional	26	$14.24	$15.67	$17.39
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.45 / $43.45 / $43.45	Professional	TC	$43.45	$43.45	$43.45
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.39 / $17.96 / $42.53	Facility	26	$12.39	$17.96	$42.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $48.66 / $189.00	Professional		$36.88	$48.66	$189.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $17.00 / $35.90	Professional	26	$11.79	$17.00	$35.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.62 / $79.92	Professional	TC	$25.37	$31.62	$79.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $44.22 / $79.92	Professional		$14.61	$44.22	$79.92
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.82 / $15.80 / $15.80	Facility	26	$8.82	$15.80	$15.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $50.85 / $79.95	Professional		$33.92	$50.85	$79.95
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $16.22 / $27.31	Professional	26	$10.11	$16.22	$27.31
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $34.61 / $55.46	Professional	TC	$22.41	$34.61	$55.46
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.61 / $13.61 / $14.50	Facility	26	$13.61	$13.61	$14.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $42.37 / $45.78	Professional		$41.76	$42.37	$45.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $13.61 / $14.50	Professional	26	$13.30	$13.61	$14.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $28.76 / $31.67	Professional	TC	$28.17	$28.76	$31.67
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $45.75 / $76.00	Professional		$37.11	$45.75	$76.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $15.76 / $27.50	Professional	26	$12.64	$15.76	$27.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $30.80 / $50.04	Professional	TC	$24.05	$30.80	$50.04