Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $16.80 / $42.69	Facility	26	$14.27	$16.80	$42.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $53.00 / $212.93	Professional		$43.39	$53.00	$212.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $15.13 / $42.34	Professional	26	$12.84	$15.13	$42.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $38.40 / $70.78	Professional	TC	$30.56	$38.40	$70.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $47.15 / $95.66	Professional		$31.72	$47.15	$95.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $17.09 / $24.13	Professional	26	$11.72	$17.09	$24.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $54.88 / $54.88	Professional	TC	$54.88	$54.88	$54.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $74.40 / $86.89	Professional		$50.70	$74.40	$86.89
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $15.42 / $24.98 / $36.52	Professional	26	$15.42	$24.98	$36.52
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $35.28 / $48.24 / $57.98	Professional	TC	$35.28	$48.24	$57.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $61.56 / $96.75	Professional		$40.07	$61.56	$96.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $18.89 / $30.39	Professional	26	$11.76	$18.89	$30.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $42.84 / $68.25	Professional	TC	$27.39	$42.84	$68.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $67.70 / $81.55	Professional		$59.19	$67.70	$81.55
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $20.29 / $31.92	Professional	26	$16.94	$20.29	$31.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.25 / $52.54 / $74.80	Professional	TC	$42.25	$52.54	$74.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $58.76 / $66.22	Professional		$57.67	$58.76	$66.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $18.57 / $24.42	Professional	26	$16.89	$18.57	$24.42
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.85 / $44.85 / $44.85	Professional	TC	$44.85	$44.85	$44.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.12 / $19.71 / $46.67	Facility	26	$14.12	$19.71	$46.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $58.30 / $157.40	Professional		$45.44	$58.30	$157.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $19.87 / $42.68	Professional	26	$13.58	$19.87	$42.68
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $41.10 / $81.81	Professional	TC	$31.56	$41.10	$81.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $53.01 / $96.18	Professional		$16.71	$53.01	$96.18
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $17.71 / $17.71	Facility	26	$10.23	$17.71	$17.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $61.28 / $95.57	Professional		$41.16	$61.28	$95.57
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $18.79 / $30.39	Professional	26	$11.89	$18.79	$30.39
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.70 / $42.61 / $68.25	Professional	TC	$28.70	$42.61	$68.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $15.25 / $15.25 / $17.50	Facility	26	$15.25	$15.25	$17.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $50.65 / $54.81	Professional		$49.94	$50.65	$54.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $15.27 / $17.50	Professional	26	$14.85	$15.27	$17.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $34.50 / $35.40 / $38.97	Professional	TC	$34.50	$35.40	$38.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $56.86 / $93.88	Professional		$44.50	$56.86	$93.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $17.92 / $30.28	Professional	26	$14.36	$17.92	$30.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.84 / $39.04 / $65.95	Professional	TC	$29.84	$39.04	$65.95