Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $10.56 / $27.61	Facility	26	$8.52	$10.56	$27.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $34.52 / $105.38	Professional		$24.23	$34.52	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $10.15 / $27.08	Professional	26	$7.81	$10.15	$27.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.75 / $13.71 / $20.89	Professional	52	$11.75	$13.71	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $21.87 / $52.32	Professional	TC	$15.82	$21.87	$52.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $53.02 / $53.02	Professional		$17.37	$53.02	$53.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $6.98 / $13.62	Professional	26	$6.98	$6.98	$13.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $16.37 / $16.37	Professional	TC	$16.37	$16.37	$16.37
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $45.17 / $62.49	Professional		$28.10	$45.17	$62.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $14.65 / $23.69	Professional	26	$9.02	$14.65	$23.69
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $31.67 / $44.14	Professional	TC	$19.07	$31.67	$44.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $41.28 / $65.06	Professional		$24.27	$41.28	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.08 / $19.38	Professional	26	$7.08	$12.08	$19.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $29.44 / $45.92	Professional	TC	$17.98	$29.44	$45.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $43.76 / $57.82	Professional		$33.97	$43.76	$57.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $11.95 / $18.72	Professional	26	$9.94	$11.95	$18.72
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.38 / $40.36	Professional	TC	$22.87	$28.38	$40.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.96 / $36.92	Professional		$30.20	$31.96	$36.92
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $11.06 / $15.12	Professional	26	$9.91	$11.06	$15.12
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $12.86 / $28.12	Facility	26	$8.52	$12.86	$28.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $38.54 / $99.75	Professional		$24.89	$38.54	$99.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.16 / $27.08	Professional	26	$8.11	$11.16	$27.08
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.75 / $14.36 / $29.26	Professional	52	$11.75	$14.36	$29.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $25.05 / $58.86	Professional	TC	$16.76	$25.05	$58.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $28.71 / $53.02	Professional		$9.84	$28.71	$53.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $10.36 / $10.36	Facility	26	$6.70	$10.36	$10.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $41.08 / $65.06	Professional		$24.27	$41.08	$65.06
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $11.98 / $19.38	Professional	26	$7.28	$11.98	$19.38
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $28.95 / $45.20	Professional	TC	$17.98	$28.95	$45.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $11.00	Facility	26	$8.94	$8.94	$11.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $27.58 / $36.50	Professional		$27.21	$27.58	$36.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.94 / $11.00	Professional	26	$8.71	$8.94	$11.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $18.64 / $25.50	Professional	TC	$18.29	$18.64	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $34.94 / $57.38	Professional		$27.16	$34.94	$57.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $10.79 / $18.86	Professional	26	$8.60	$10.79	$18.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $24.22 / $40.72	Professional	TC	$18.55	$24.22	$40.72