Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.35 / $23.46	Facility	26	$7.90	$10.35	$23.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.10 / $143.00	Professional		$26.78	$31.10	$143.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $7.90 / $20.45	Professional	26	$6.84	$7.90	$20.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.09 / $43.78	Professional	TC	$19.46	$23.09	$43.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.07 / $21.97	Professional		$20.07	$20.07	$21.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $11.85 / $13.86	Professional	26	$6.48	$11.85	$13.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $44.57 / $52.04	Professional		$32.53	$44.57	$52.04
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.04 / $20.23	Professional	26	$8.36	$13.04	$20.23
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $31.54 / $38.82	Professional	TC	$24.16	$31.54	$38.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $36.51 / $59.97	Professional		$24.67	$36.51	$59.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $10.35 / $16.17	Professional	26	$6.47	$10.35	$16.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $26.03 / $43.70	Professional	TC	$17.05	$26.03	$43.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $43.65 / $52.70	Professional		$34.43	$43.65	$52.70
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $11.05 / $17.34	Professional	26	$9.21	$11.05	$17.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $35.96 / $51.17	Professional	TC	$28.94	$35.96	$51.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $40.40 / $40.81	Professional		$36.72	$40.40	$40.81
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.19 / $13.81	Professional	26	$8.81	$9.19	$13.81
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $36.29 / $36.29	Professional	TC	$36.29	$36.29	$36.29
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $12.01 / $25.28	Facility	26	$7.90	$12.01	$25.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.92 / $97.85	Professional		$27.02	$34.92	$97.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $9.27 / $23.14	Professional	26	$7.07	$9.27	$23.14
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $25.66 / $56.09	Professional	TC	$20.17	$25.66	$56.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $34.19 / $59.50	Professional		$8.83	$34.19	$59.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.30 / $9.30	Facility	26	$5.76	$9.30	$9.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $36.49 / $59.97	Professional		$24.67	$36.49	$59.97
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $10.27 / $16.60	Professional	26	$6.53	$10.27	$16.60
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $26.03 / $43.14	Professional	TC	$18.42	$26.03	$43.14
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.96 / $7.96 / $9.50	Facility	26	$7.96	$7.96	$9.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $31.67 / $34.36	Professional		$29.00	$31.67	$34.36
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $7.98 / $9.50	Professional	26	$7.75	$7.98	$9.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.70 / $26.10	Professional	TC	$19.50	$23.70	$26.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $33.76 / $58.30	Professional		$25.63	$33.76	$58.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.74 / $16.73	Professional	26	$7.67	$9.74	$16.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.69 / $25.07 / $41.70	Professional	TC	$18.69	$25.07	$41.70