Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.89 / $10.38 / $23.32	Facility	26	$7.89	$10.38	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $38.83 / $141.00	Professional		$30.51	$38.83	$141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.90 / $23.49	Professional	26	$7.16	$8.90	$23.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.75 / $63.15	Professional	TC	$22.26	$27.75	$63.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $29.71 / $37.90	Professional		$26.00	$29.71	$37.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.26 / $13.88	Professional	26	$6.47	$9.26	$13.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $46.22 / $64.75	Professional		$38.54	$46.22	$64.75
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $13.53 / $20.23	Professional	26	$8.34	$13.53	$20.23
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $31.34 / $49.19	Professional	TC	$30.20	$31.34	$49.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $41.81 / $71.59	Professional		$28.23	$41.81	$71.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.50 / $16.97	Professional	26	$6.46	$10.50	$16.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $30.39 / $54.65	Professional	TC	$19.89	$30.39	$54.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $51.94 / $62.74	Professional		$34.50	$51.94	$62.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $11.09 / $17.30	Professional	26	$9.23	$11.09	$17.30
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.17 / $44.96 / $64.00	Professional	TC	$36.17	$44.96	$64.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $46.76 / $49.70	Professional		$31.18	$46.76	$49.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.96 / $13.29	Professional	26	$8.81	$9.96	$13.29
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.78 / $38.78 / $45.36	Professional	TC	$38.78	$38.78	$45.36
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.89 / $11.88 / $26.10	Facility	26	$7.89	$11.88	$26.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $45.84 / $110.00	Professional		$33.28	$45.84	$110.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.91 / $24.26	Professional	26	$7.51	$9.91	$24.26
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $32.78 / $70.11	Professional	TC	$23.97	$32.78	$70.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $35.20 / $70.34	Professional		$8.86	$35.20	$70.34
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $9.30 / $9.30	Facility	26	$5.76	$9.30	$9.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $41.81 / $69.68	Professional		$28.47	$41.81	$69.68
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.45 / $16.97	Professional	26	$6.60	$10.45	$16.97
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $30.87 / $53.84	Professional	TC	$19.96	$30.87	$53.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.26 / $8.26 / $12.00	Facility	26	$8.26	$8.26	$12.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $38.29 / $41.67	Professional		$29.39	$38.29	$41.67
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $8.26 / $12.00	Professional	26	$8.05	$8.26	$12.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $30.03 / $33.06	Professional	TC	$17.39	$30.03	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $39.34 / $69.63	Professional		$25.75	$39.34	$69.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.80 / $17.44	Professional	26	$7.95	$9.80	$17.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $31.25 / $56.09	Professional	TC	$21.89	$31.25	$56.09