Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.03 / $11.56 / $29.81	Facility	26	$10.03	$11.56	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $41.82 / $175.05	Professional		$32.51	$41.82	$175.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $10.97 / $28.06	Professional	26	$9.21	$10.97	$28.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $28.31 / $65.48	Professional	TC	$23.19	$28.31	$65.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $29.33 / $71.84	Professional		$26.40	$29.33	$71.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $10.07 / $17.69	Professional	26	$8.15	$10.07	$17.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $20.25 / $20.25	Professional	TC	$20.25	$20.25	$20.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $54.09 / $86.85	Professional		$38.08	$54.09	$86.85
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $17.27 / $24.81	Professional	26	$10.75	$17.27	$24.81
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.34 / $36.20 / $62.05	Professional	TC	$27.34	$36.20	$62.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $46.02 / $71.38	Professional		$29.89	$46.02	$71.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $13.15 / $21.32	Professional	26	$8.05	$13.15	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $33.13 / $52.42	Professional	TC	$21.51	$33.13	$52.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $50.89 / $61.28	Professional		$43.81	$50.89	$61.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $14.10 / $22.29	Professional	26	$11.74	$14.10	$22.29
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.75 / $40.70 / $57.93	Professional	TC	$32.75	$40.70	$57.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $44.81 / $54.73	Professional		$41.31	$44.81	$54.73
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $12.78 / $19.73	Professional	26	$11.43	$12.78	$19.73
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $35.15 / $49.85	Professional	TC	$31.44	$35.15	$49.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $13.34 / $31.21	Facility	26	$9.67	$13.34	$31.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $47.05 / $114.65	Professional		$34.17	$47.05	$114.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.64 / $27.74	Professional	26	$9.41	$13.64	$27.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $32.19 / $70.23	Professional	TC	$24.57	$32.19	$70.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $36.93 / $65.97	Professional		$10.85	$36.93	$65.97
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $12.36 / $12.36	Facility	26	$7.17	$12.36	$12.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $45.67 / $71.38	Professional		$30.39	$45.67	$71.38
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $13.12 / $21.42	Professional	26	$8.11	$13.12	$21.42
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $32.89 / $52.42	Professional	TC	$21.77	$32.89	$52.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.63 / $10.63 / $12.00	Facility	26	$10.63	$10.63	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $37.81 / $40.94	Professional		$37.26	$37.81	$40.94
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $10.63 / $12.00	Professional	26	$10.37	$10.63	$12.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $27.18 / $29.93	Professional	TC	$26.63	$27.18	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $40.70 / $69.40	Professional		$33.35	$40.70	$69.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $12.86 / $22.44	Professional	26	$10.14	$12.86	$22.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $29.18 / $48.23	Professional	TC	$22.83	$29.18	$48.23