Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.82 / $12.17 / $29.81	Facility	26	$9.82	$12.17	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $39.13 / $110.69	Professional		$31.59	$39.13	$110.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.09 / $26.37	Professional	26	$8.84	$10.09	$26.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $27.96 / $53.05	Professional	TC	$22.75	$27.96	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $21.37	Professional		$21.37	$21.37	$21.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $8.02 / $16.26	Professional	26	$7.89	$8.02	$16.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $56.52 / $65.70	Professional		$39.64	$56.52	$65.70
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $16.85 / $25.42	Professional	26	$10.40	$16.85	$25.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $39.25 / $48.14	Professional	TC	$29.25	$39.25	$48.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $46.75 / $75.62	Professional		$31.23	$46.75	$75.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $13.11 / $20.70	Professional	26	$8.11	$13.11	$20.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $33.35 / $56.14	Professional	TC	$22.15	$33.35	$56.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $53.09 / $63.96	Professional		$43.41	$53.09	$63.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $13.68 / $21.58	Professional	26	$11.39	$13.68	$21.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.03 / $43.54 / $61.97	Professional	TC	$35.03	$43.54	$61.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $47.35 / $50.09	Professional		$45.53	$47.35	$50.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.08 / $15.60	Professional	26	$10.76	$12.08	$15.60
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.82 / $13.57 / $32.61	Facility	26	$9.82	$13.57	$32.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $41.94 / $110.69	Professional		$34.21	$41.94	$110.69
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $10.82 / $28.66	Professional	26	$8.93	$10.82	$28.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.75 / $76.97	Professional	TC	$25.37	$31.75	$76.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $112.00	Professional		$48.00	$48.00	$112.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $11.95 / $11.95	Facility	26	$7.17	$11.95	$11.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $46.10 / $75.06	Professional		$31.23	$46.10	$75.06
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.82 / $21.42	Professional	26	$8.13	$12.82	$21.42
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $33.49 / $54.56	Professional	TC	$23.09	$33.49	$54.56
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $10.29 / $12.00	Facility	26	$10.29	$10.29	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.69 / $43.03	Professional		$39.00	$39.69	$43.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $10.29 / $12.00	Professional	26	$10.03	$10.29	$12.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $29.39 / $32.36	Professional	TC	$27.00	$29.39	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $42.96 / $72.56	Professional		$33.79	$42.96	$72.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $12.39 / $20.95	Professional	26	$9.89	$12.39	$20.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $30.03 / $50.67	Professional	TC	$24.35	$30.03	$50.67