Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $9.92 / $22.48	Facility	26	$7.28	$9.92	$22.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $23.94 / $56.63	Professional		$20.18	$23.94	$56.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $7.68 / $20.47	Professional	26	$6.55	$7.68	$20.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $16.42 / $31.09	Professional	TC	$13.60	$16.42	$31.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $8.00 / $12.74	Professional	26	$5.98	$8.00	$12.74
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $10.48 / $69.81	Professional	26	$8.94	$10.48	$69.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $34.64 / $52.76	Professional		$23.61	$34.64	$52.76
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $12.26 / $17.03	Professional	26	$7.71	$12.26	$17.03
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $22.83 / $35.69	Professional	TC	$15.89	$22.83	$35.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $28.57 / $45.01	Professional		$18.41	$28.57	$45.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $9.16 / $15.20	Professional	26	$5.72	$9.16	$15.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.55 / $19.20 / $30.78	Professional	TC	$12.55	$19.20	$30.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $31.49 / $38.04	Professional		$27.53	$31.49	$38.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $10.15 / $15.95	Professional	26	$8.47	$10.15	$15.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $23.64 / $33.61	Professional	TC	$19.07	$23.64	$33.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Professional		$29.50	$29.50	$29.50
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $9.30 / $14.19	Professional	26	$8.43	$9.30	$14.19
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $23.87 / $23.87	Professional	TC	$23.87	$23.87	$23.87
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.94 / $17.63	Professional	26	$8.11	$9.94	$17.63
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $10.97 / $24.22	Facility	26	$7.28	$10.97	$24.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $26.33 / $58.47	Professional		$21.37	$26.33	$58.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $9.52 / $20.47	Professional	26	$6.88	$9.52	$20.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $17.60 / $38.67	Professional	TC	$14.31	$17.60	$38.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $22.29 / $40.45	Professional		$8.16	$22.29	$40.45
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.04 / $8.86 / $8.86	Facility	26	$5.04	$8.86	$8.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $28.18 / $44.93	Professional		$18.32	$28.18	$44.93
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.77 / $9.16 / $15.36	Professional	26	$5.77	$9.16	$15.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.17 / $31.11	Professional	TC	$12.88	$19.17	$31.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.63 / $7.63 / $8.19	Facility	26	$7.63	$7.63	$8.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $23.74 / $25.66	Professional		$23.41	$23.74	$25.66
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $7.64 / $8.19	Professional	26	$7.42	$7.64	$8.19
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.81 / $16.12 / $17.75	Professional	TC	$15.81	$16.12	$17.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $25.53 / $43.78	Professional		$21.04	$25.53	$43.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $8.88 / $15.12	Professional	26	$6.94	$8.88	$15.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $17.51 / $29.38	Professional	TC	$13.70	$17.51	$29.38