Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.87 / $15.54 / $28.71	Facility	26	$10.87	$15.54	$28.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $42.57 / $100.12	Professional		$34.59	$42.57	$100.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.83 / $27.99	Professional	26	$9.75	$11.83	$27.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $29.95 / $56.30	Professional	TC	$24.55	$29.95	$56.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $31.31 / $41.85	Professional		$28.83	$31.31	$41.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $9.80 / $22.76	Professional	26	$9.05	$9.80	$22.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $59.52 / $69.47	Professional		$40.67	$59.52	$69.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $17.32 / $24.51	Professional	26	$12.06	$17.32	$24.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $41.67 / $48.63	Professional	TC	$28.61	$41.67	$48.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $48.56 / $77.73	Professional		$31.69	$48.56	$77.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.66 / $22.69	Professional	26	$8.52	$13.66	$22.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $34.72 / $55.48	Professional	TC	$22.11	$34.72	$55.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $54.33 / $65.37	Professional		$45.35	$54.33	$65.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $15.91 / $25.06	Professional	26	$13.23	$15.91	$25.06
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 $38.95 / $46.63 / $51.30	Professional		$38.95	$46.63	$51.30
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $14.55 / $20.63	Professional	26	$12.29	$14.55	$20.63
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.45 / $43.45 / $43.45	Professional	TC	$43.45	$43.45	$43.45
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.86 / $16.89 / $37.38	Facility	26	$10.86	$16.89	$37.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $46.60 / $116.53	Professional		$36.54	$46.60	$116.53
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $14.27 / $28.91	Professional	26	$10.26	$14.27	$28.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.28 / $32.40 / $79.98	Professional	TC	$25.28	$32.40	$79.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $41.72 / $75.34	Professional		$13.03	$41.72	$75.34
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $13.86 / $13.86	Facility	26	$6.93	$13.86	$13.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $48.02 / $76.81	Professional		$33.02	$48.02	$76.81
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $13.66 / $22.82	Professional	26	$8.81	$13.66	$22.82
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $34.61 / $55.52	Professional	TC	$23.06	$34.61	$55.52
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.50 / $11.94 / $11.94	Facility	26	$11.50	$11.94	$11.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $40.70 / $44.06	Professional		$38.72	$40.70	$44.06
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $11.94 / $12.39	Professional	26	$11.50	$11.94	$12.39
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.22 / $28.76 / $31.67	Professional	TC	$27.22	$28.76	$31.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $42.21 / $75.92	Professional		$33.19	$42.21	$75.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.01 / $23.43	Professional	26	$9.94	$13.01	$23.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.75 / $30.96 / $50.18	Professional	TC	$23.75	$30.96	$50.18