Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $11.28 / $23.49	Facility	26	$7.91	$11.28	$23.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $31.05 / $250.60	Facility	TC	$18.20	$31.05	$250.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $28.19 / $83.16	Professional		$23.04	$28.19	$83.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $7.91 / $36.76	Professional	26	$6.81	$7.91	$36.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $19.45 / $40.54	Professional	TC	$16.36	$19.45	$40.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $8.23 / $13.30	Professional	26	$6.09	$8.23	$13.30
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $83.60 / $111.63 / $148.81	Facility	TC	$83.60	$111.63	$148.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $42.69 / $49.21	Professional		$28.68	$42.69	$49.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.01 / $15.68	Professional	26	$8.02	$13.01	$15.68
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $29.72 / $34.54	Professional	TC	$20.66	$29.72	$34.54
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 Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $34.28 / $53.80	Professional		$21.87	$34.28	$53.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.91 / $10.16 / $16.05	Professional	26	$5.91	$10.16	$16.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $24.00 / $38.63	Professional	TC	$15.63	$24.00	$38.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $38.45 / $46.46	Professional		$30.46	$38.45	$46.46
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 $24.77 / $30.75 / $43.74	Professional	TC	$24.77	$30.75	$43.74
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $56.36 / $121.89 / $516.73	Facility	TC	$56.36	$121.89	$516.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $32.31 / $32.31	Professional		$32.31	$32.31	$32.31
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.69 / $17.62	Professional	26	$8.71	$9.69	$17.62
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $11.98 / $25.87	Facility	26	$7.91	$11.98	$25.87
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $21.52 / $37.63 / $250.60	Facility	TC	$21.52	$37.63	$250.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $29.53 / $74.64	Professional		$24.00	$29.53	$74.64
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $8.65 / $23.49	Professional	26	$7.14	$8.65	$23.49
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $21.52 / $46.05	Professional	TC	$17.18	$21.52	$46.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $30.80 / $60.48	Professional		$8.89	$30.80	$60.48
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Priority Health Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $34.18 / $54.03	Professional		$21.87	$34.18	$54.03
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $10.16 / $16.05	Professional	26	$6.04	$10.16	$16.05
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $24.00 / $39.03	Professional	TC	$15.63	$24.00	$39.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $9.26	Facility	26	$7.94	$7.94	$9.26
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $19.79 / $20.23 / $20.23	Facility	TC	$19.79	$20.23	$20.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $28.17 / $30.54	Professional		$27.78	$28.17	$30.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $7.95 / $9.26	Professional	26	$7.74	$7.95	$9.26
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $20.23 / $22.27	Professional	TC	$19.79	$20.23	$22.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $31.75 / $53.45	Professional		$25.24	$31.75	$53.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $9.49 / $15.80	Professional	26	$7.64	$9.49	$15.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $22.51 / $37.09	Professional	TC	$17.16	$22.51	$37.09