Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.13 / $13.32 / $29.81	Facility	26	$10.13	$13.32	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $46.13 / $197.24	Professional		$33.65	$46.13	$197.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.75 / $27.73	Professional	26	$9.11	$10.75	$27.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.22 / $57.59	Professional	TC	$24.55	$32.22	$57.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $27.93	Professional		$24.23	$24.23	$27.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $14.82 / $16.73	Professional	26	$8.14	$14.82	$16.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.93 / $43.93 / $43.93	Professional	TC	$43.93	$43.93	$43.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $60.45 / $76.51	Professional		$39.33	$60.45	$76.51
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $25.42	Professional	26	$10.72	$17.38	$25.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $43.63 / $57.17	Professional	TC	$28.61	$43.63	$57.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $51.95 / $83.70	Professional		$32.33	$51.95	$83.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.36 / $21.36	Professional	26	$8.36	$13.36	$21.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $39.06 / $62.34	Professional	TC	$24.23	$39.06	$62.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $56.83 / $65.95	Professional		$47.65	$56.83	$65.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $14.15 / $22.26	Professional	26	$11.76	$14.15	$22.26
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $42.59 / $60.63	Professional	TC	$34.26	$42.59	$60.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $49.28 / $72.88	Professional		$44.80	$49.28	$72.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $12.64 / $16.27	Professional	26	$11.11	$12.64	$16.27
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.24 / $36.36 / $42.97	Professional	TC	$31.24	$36.36	$42.97
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.13 / $13.99 / $33.27	Facility	26	$10.13	$13.99	$33.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $49.71 / $162.97	Professional		$35.34	$49.71	$162.97
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $13.24 / $29.88	Professional	26	$9.59	$13.24	$29.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $36.60 / $90.65	Professional	TC	$25.98	$36.60	$90.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $39.95 / $72.40	Professional		$11.19	$39.95	$72.40
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $12.30 / $12.30	Facility	26	$7.17	$12.30	$12.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $51.75 / $83.70	Professional		$32.45	$51.75	$83.70
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.24 / $21.78	Professional	26	$8.36	$13.24	$21.78
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $38.35 / $62.76	Professional	TC	$24.23	$38.35	$62.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.61 / $10.61 / $12.00	Facility	26	$10.61	$10.61	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $39.04 / $46.50	Professional		$38.46	$39.04	$46.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $10.61 / $12.00	Professional	26	$10.35	$10.61	$12.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $28.45 / $34.50	Professional	TC	$27.87	$28.45	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $44.07 / $73.26	Professional		$34.25	$44.07	$73.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $12.45 / $21.42	Professional	26	$9.89	$12.45	$21.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $31.89 / $53.20	Professional	TC	$24.29	$31.89	$53.20