Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.88 / $10.99 / $27.32	Facility	26	$8.88	$10.99	$27.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $34.14 / $153.28	Professional		$27.89	$34.14	$153.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.46 / $26.06	Professional	26	$7.98	$9.46	$26.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $23.11 / $44.96	Professional	TC	$19.57	$23.11	$44.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $20.23 / $24.91	Professional		$19.93	$20.23	$24.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $9.14 / $13.31	Professional	26	$7.13	$9.14	$13.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $46.78 / $77.55	Professional		$32.29	$46.78	$77.55
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $15.24 / $23.24	Professional	26	$9.40	$15.24	$23.24
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $31.31 / $54.28	Professional	TC	$22.89	$31.31	$54.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $39.59 / $62.24	Professional		$25.89	$39.59	$62.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.97 / $18.77	Professional	26	$7.32	$11.97	$18.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $28.13 / $44.66	Professional	TC	$17.63	$28.13	$44.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $43.99 / $51.99	Professional		$37.09	$43.99	$51.99
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $12.34 / $19.47	Professional	26	$10.29	$12.34	$19.47
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $34.06 / $48.47	Professional	TC	$27.42	$34.06	$48.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $40.79 / $42.33	Professional		$36.72	$40.79	$42.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $10.91 / $13.80	Professional	26	$10.28	$10.91	$13.80
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.10 / $29.50 / $34.86	Professional	TC	$29.10	$29.50	$34.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $12.10 / $29.07	Facility	26	$8.46	$12.10	$29.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $37.36 / $101.39	Professional		$28.91	$37.36	$101.39
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $11.88 / $26.98	Professional	26	$8.36	$11.88	$26.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $25.28 / $57.84	Professional	TC	$19.91	$25.28	$57.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $43.90 / $91.60	Professional		$43.90	$43.90	$91.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $10.80 / $10.80	Facility	26	$6.70	$10.80	$10.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $39.17 / $62.24	Professional		$26.43	$39.17	$62.24
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $11.97 / $19.36	Professional	26	$7.47	$11.97	$19.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $28.07 / $44.51	Professional	TC	$18.34	$28.07	$44.51
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $11.00	Facility	26	$9.30	$9.30	$11.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $32.36 / $35.50	Professional		$31.91	$32.36	$35.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $9.30 / $11.00	Professional	26	$9.06	$9.30	$11.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $23.07 / $25.40	Professional	TC	$22.61	$23.07	$25.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $35.25 / $59.14	Professional		$28.42	$35.25	$59.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.18 / $19.23	Professional	26	$8.90	$11.18	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $24.61 / $40.28	Professional	TC	$19.18	$24.61	$40.28