Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.03 / $11.95 / $20.80	Facility	26	$10.03	$11.95	$20.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $39.32 / $144.72	Professional		$31.42	$39.32	$144.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.87 / $28.63	Professional	26	$8.52	$10.87	$28.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $28.31 / $65.80	Professional	TC	$23.19	$28.31	$65.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $28.74 / $37.32	Professional		$23.77	$28.74	$37.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.50 / $17.69	Professional	26	$8.27	$12.50	$17.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $21.45 / $33.85	Professional	TC	$21.45	$21.45	$33.85
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.71 / $74.45	Professional		$38.08	$52.71	$74.45
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $15.14 / $21.71	Professional	26	$10.75	$15.14	$21.71
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.34 / $37.65 / $52.76	Professional	TC	$27.34	$37.65	$52.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $42.90 / $71.38	Professional		$28.81	$42.90	$71.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.80 / $19.35	Professional	26	$7.59	$11.80	$19.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $31.01 / $51.92	Professional	TC	$20.57	$31.01	$51.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $50.89 / $61.28	Professional		$40.35	$50.89	$61.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $14.10 / $22.29	Professional	26	$11.74	$14.10	$22.29
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.75 / $40.70 / $57.93	Professional	TC	$32.75	$40.70	$57.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $45.06 / $55.89	Professional		$40.96	$45.06	$55.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $12.64 / $17.09	Professional	26	$11.11	$12.64	$17.09
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $41.06 / $49.28	Professional	TC	$31.58	$41.06	$49.28
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.66 / $13.34 / $31.21	Facility	26	$9.66	$13.34	$31.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $46.85 / $132.43	Professional		$32.31	$46.85	$132.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $13.58 / $26.88	Professional	26	$9.13	$13.58	$26.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $32.00 / $73.05	Professional	TC	$23.19	$32.00	$73.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $38.69 / $66.59	Professional		$10.85	$38.69	$66.59
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.22 / $12.36 / $12.36	Facility	26	$6.22	$12.36	$12.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $42.89 / $71.38	Professional		$29.41	$42.89	$71.38
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.80 / $19.35	Professional	26	$7.63	$11.80	$19.35
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $31.01 / $51.59	Professional	TC	$21.42	$31.01	$51.59
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.50 / $10.63 / $10.63	Facility	26	$10.50	$10.63	$10.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $37.81 / $40.94	Professional		$34.50	$37.81	$40.94
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $10.63 / $11.01	Professional	26	$10.37	$10.63	$11.01
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $27.18 / $29.93	Professional	TC	$24.00	$27.18	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $39.38 / $65.73	Professional		$30.19	$39.38	$65.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $12.28 / $22.10	Professional	26	$9.10	$12.28	$22.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $28.78 / $47.17	Professional	TC	$22.53	$28.78	$47.17