Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $12.92 / $29.81	Facility	26	$9.51	$12.92	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $37.97 / $142.78	Professional		$29.69	$37.97	$142.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $10.75 / $28.06	Professional	26	$8.65	$10.75	$28.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $25.27 / $46.22	Professional	TC	$20.18	$25.27	$46.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $25.90 / $63.36	Professional		$22.66	$25.90	$63.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.89 / $18.98	Professional	26	$7.76	$13.89	$18.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $19.73 / $19.73	Professional	TC	$19.73	$19.73	$19.73
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $48.06 / $82.21	Professional		$33.58	$48.06	$82.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $16.30 / $24.81	Professional	26	$10.06	$16.30	$24.81
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $30.16 / $57.39	Professional	TC	$23.52	$30.16	$57.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $42.77 / $65.23	Professional		$26.93	$42.77	$65.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $13.18 / $20.50	Professional	26	$7.85	$13.18	$20.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $29.57 / $45.59	Professional	TC	$18.66	$29.57	$45.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $45.76 / $54.04	Professional		$39.21	$45.76	$54.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $13.24 / $20.88	Professional	26	$11.03	$13.24	$20.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.19 / $35.01 / $49.83	Professional	TC	$28.19	$35.01	$49.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $42.01 / $44.13	Professional		$35.38	$42.01	$44.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $11.70 / $17.20	Professional	26	$10.42	$11.70	$17.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.25 / $31.25 / $35.33	Professional	TC	$31.25	$31.25	$35.33
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $14.32 / $31.55	Facility	26	$9.51	$14.32	$31.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $40.34 / $103.94	Professional		$30.44	$40.34	$103.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $11.82 / $28.66	Professional	26	$8.98	$11.82	$28.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $26.31 / $61.37	Professional	TC	$20.84	$26.31	$61.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $33.04 / $59.85	Professional		$10.51	$33.04	$59.85
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $11.56 / $11.56	Facility	26	$7.17	$11.56	$11.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $42.19 / $65.48	Professional		$27.23	$42.19	$65.48
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $13.12 / $21.09	Professional	26	$8.11	$13.12	$21.09
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $29.15 / $45.45	Professional	TC	$18.95	$29.15	$45.45
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $9.94 / $12.00	Facility	26	$9.94	$9.94	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $33.34 / $37.50	Professional		$32.86	$33.34	$37.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $9.94 / $12.00	Professional	26	$9.71	$9.94	$12.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $23.39 / $25.75	Professional	TC	$22.92	$23.39	$25.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $37.44 / $61.72	Professional		$29.66	$37.44	$61.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $11.99 / $20.54	Professional	26	$9.83	$11.99	$20.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $25.81 / $44.09	Professional	TC	$19.79	$25.81	$44.09