Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.10 / $16.73 / $34.11	Facility	26	$11.10	$16.73	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $44.95 / $115.86	Professional		$36.72	$44.95	$115.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.80 / $27.74	Professional	26	$9.41	$10.80	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $32.26 / $57.10	Professional	TC	$26.74	$32.26	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $29.10 / $44.50	Professional		$26.60	$29.10	$44.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $12.11 / $18.35	Professional	26	$8.86	$12.11	$18.35
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $44.85 / $71.45	Professional		$43.22	$44.85	$71.45
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $12.19 / $20.30	Professional	26	$11.74	$12.19	$20.30
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $32.65 / $50.75	Professional	TC	$31.46	$32.65	$50.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $53.51 / $81.37	Professional		$34.65	$53.51	$81.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.36 / $21.88	Professional	26	$8.36	$13.36	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $40.07 / $61.84	Professional	TC	$25.00	$40.07	$61.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $58.42 / $69.56	Professional		$50.53	$58.42	$69.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $15.44 / $24.40	Professional	26	$12.84	$15.44	$24.40
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.69 / $46.86 / $66.70	Professional	TC	$37.69	$46.86	$66.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $54.12 / $73.95	Professional		$49.20	$54.12	$73.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $13.01 / $18.54	Professional	26	$12.15	$13.01	$18.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.10 / $17.46 / $36.77	Facility	26	$11.10	$17.46	$36.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $48.43 / $116.88	Professional		$38.49	$48.43	$116.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.53 / $27.92	Professional	26	$9.98	$12.53	$27.92
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $35.61 / $84.03	Professional	TC	$28.08	$35.61	$84.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $41.93 / $74.84	Professional		$11.86	$41.93	$74.84
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $13.50 / $13.50	Facility	26	$7.17	$13.50	$13.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $53.00 / $81.95	Professional		$35.19	$53.00	$81.95
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $13.36 / $21.88	Professional	26	$8.44	$13.36	$21.88
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $40.07 / $61.84	Professional	TC	$25.83	$40.07	$61.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $11.62 / $12.00	Facility	26	$11.62	$11.62	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $42.60 / $47.00	Professional		$41.95	$42.60	$47.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $11.62 / $12.04	Professional	26	$11.34	$11.62	$12.04
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.34 / $30.98 / $35.00	Professional	TC	$30.34	$30.98	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $47.42 / $78.45	Professional		$37.35	$47.42	$78.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $13.31 / $22.91	Professional	26	$10.45	$13.31	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $34.14 / $57.91	Professional	TC	$26.18	$34.14	$57.91