Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $11.33 / $23.32	Facility	26	$8.58	$11.33	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $27.41 / $118.00	Professional		$19.64	$27.41	$118.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $9.40 / $27.89	Professional	26	$7.48	$9.40	$27.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.94 / $52.94 / $52.94	Professional	50	$52.94	$52.94	$52.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.49 / $19.46 / $45.67	Professional	TC	$12.49	$19.46	$45.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $17.84 / $22.77	Professional		$14.44	$17.84	$22.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $11.89 / $14.42	Professional	26	$6.60	$11.89	$14.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $38.53 / $53.24	Professional		$23.31	$38.53	$53.24
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $14.09 / $20.23	Professional	26	$8.69	$14.09	$20.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $46.62 / $77.05 / $106.44	Professional	50	$46.62	$77.05	$106.44
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $24.90 / $37.10	Professional	TC	$14.62	$24.90	$37.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $33.72 / $52.41	Professional		$19.32	$33.72	$52.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $10.56 / $17.36	Professional	26	$6.68	$10.56	$17.36
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $47.09 / $47.09	Professional	50	$41.47	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.68 / $22.92 / $35.78	Professional	TC	$13.68	$22.92	$35.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $34.69 / $48.93	Professional		$28.08	$34.69	$48.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $11.53 / $18.02	Professional	26	$9.59	$11.53	$18.02
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $21.74 / $30.91	Professional	TC	$17.54	$21.74	$30.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $27.49 / $43.55	Professional		$24.99	$27.49	$43.55
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.27 / $15.62	Professional	26	$9.55	$10.27	$15.62
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.18 / $58.18 / $58.18	Professional	50	$58.18	$58.18	$58.18
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.82 / $11.34 / $27.11	Facility	26	$7.82	$11.34	$27.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $30.78 / $85.06	Professional		$19.64	$30.78	$85.06
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $11.52 / $25.48	Professional	26	$7.82	$11.52	$25.48
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $52.94 / $52.94 / $52.94	Professional	50	$52.94	$52.94	$52.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $19.57 / $52.96	Professional	TC	$13.00	$19.57	$52.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $28.13 / $48.82	Professional		$12.94	$28.13	$48.82
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.96 / $9.96	Facility	26	$5.76	$9.96	$9.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $33.00 / $52.41	Professional		$19.43	$33.00	$52.41
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $10.48 / $17.39	Professional	26	$6.72	$10.48	$17.39
Priority Health Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $47.09 / $50.13	Professional	50	$41.47	$47.09	$50.13
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.78 / $22.57 / $35.61	Professional	TC	$13.78	$22.57	$35.61
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.60 / $8.60 / $9.50	Facility	26	$8.60	$8.60	$9.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.82 / $29.00	Professional		$22.48	$22.82	$29.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $8.60 / $9.50	Professional	26	$8.38	$8.60	$9.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $14.22 / $19.50	Professional	TC	$13.96	$14.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $29.30 / $50.15	Professional		$23.93	$29.30	$50.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $10.25 / $17.21	Professional	26	$8.10	$10.25	$17.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $20.65 / $34.28	Professional	TC	$15.83	$20.65	$34.28