Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $9.40 / $21.00	Facility	26	$7.59	$9.40	$21.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $35.44 / $112.18	Professional		$17.20	$35.44	$112.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $11.07 / $37.28	Professional	26	$7.03	$11.07	$37.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.06 / $48.13	Professional	TC	$18.82	$23.06	$48.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $24.19 / $55.87	Professional		$21.25	$24.19	$55.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $11.36 / $13.30	Professional	26	$6.22	$11.36	$13.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $26.09 / $26.09	Professional	TC	$19.22	$26.09	$26.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $44.11 / $62.05	Professional		$31.55	$44.11	$62.05
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.01 / $18.60	Professional	26	$8.02	$13.01	$18.60
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $63.09 / $88.22 / $124.09	Professional	50	$63.09	$88.22	$124.09
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $30.77 / $43.45	Professional	TC	$23.52	$30.77	$43.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.88 / $58.77	Professional		$23.88	$35.88	$58.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.69 / $16.05	Professional	26	$6.15	$9.69	$16.05
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $42.89 / $42.89	Professional	50	$37.85	$42.89	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $25.12 / $42.98	Professional	TC	$16.78	$25.12	$42.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $42.36 / $51.18	Professional		$33.27	$42.36	$51.18
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $10.61 / $16.63	Professional	26	$8.85	$10.61	$16.63
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 $35.99 / $38.97 / $41.58	Professional		$35.99	$38.97	$41.58
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.71 / $13.99	Professional	26	$8.81	$9.71	$13.99
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.98 / $71.98 / $83.16	Professional	50	$71.98	$71.98	$83.16
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $35.33 / $35.33	Professional	TC	$27.17	$35.33	$35.33
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $10.34 / $23.49	Facility	26	$7.23	$10.34	$23.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $36.65 / $89.01	Professional		$17.19	$36.65	$89.01
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $11.43 / $29.34	Professional	26	$7.23	$11.43	$29.34
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $25.98 / $54.58	Professional	TC	$19.64	$25.98	$54.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $35.79 / $59.51	Professional		$11.93	$35.79	$59.51
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.27 / $9.19 / $9.19	Facility	26	$5.27	$9.19	$9.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $35.59 / $58.77	Professional		$24.18	$35.59	$58.77
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.66 / $16.11	Professional	26	$6.15	$9.66	$16.11
Priority Health Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $42.89 / $45.71	Professional	50	$37.85	$42.89	$45.71
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.25 / $42.33	Professional	TC	$17.78	$25.25	$42.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $8.50	Facility	26	$7.94	$7.94	$8.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $31.01 / $33.67	Professional		$28.50	$31.01	$33.67
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $7.95 / $8.50	Professional	26	$7.74	$7.95	$8.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.00 / $23.07 / $25.40	Professional	TC	$20.00	$23.07	$25.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $31.76 / $54.46	Professional		$24.69	$31.76	$54.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $9.41 / $15.68	Professional	26	$7.42	$9.41	$15.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $24.18 / $40.61	Professional	TC	$19.14	$24.18	$40.61