Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $9.30 / $21.23	Facility	26	$7.28	$9.30	$21.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.57 / $106.20	Professional		$17.55	$32.57	$106.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $10.02 / $35.67	Professional	26	$6.71	$10.02	$35.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.04 / $13.32 / $16.29	Professional	52	$11.04	$13.32	$16.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $20.94 / $51.64	Professional	TC	$17.17	$20.94	$51.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $21.01 / $51.72	Professional		$17.28	$21.01	$51.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $8.96 / $14.54	Professional	26	$5.82	$8.96	$14.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.91 / $21.84 / $21.84	Professional	TC	$16.91	$21.84	$21.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $40.94 / $57.39	Professional		$27.41	$40.94	$57.39
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $12.50 / $18.60	Professional	26	$7.71	$12.50	$18.60
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $54.82 / $81.88 / $114.78	Professional	50	$54.82	$81.88	$114.78
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $28.21 / $38.79	Professional	TC	$19.71	$28.21	$38.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $33.39 / $52.49	Professional		$21.87	$33.39	$52.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $9.52 / $15.25	Professional	26	$5.95	$9.52	$15.25
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $39.76 / $39.76	Professional	50	$35.13	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $23.96 / $38.39	Professional	TC	$15.38	$23.96	$38.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $36.71 / $44.34	Professional		$31.92	$36.71	$44.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $10.15 / $15.95	Professional	26	$8.47	$10.15	$15.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.62 / $29.33 / $41.71	Professional	TC	$23.62	$29.33	$41.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $34.54 / $40.27	Professional		$29.85	$34.54	$40.27
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.15 / $12.69	Professional	26	$7.99	$9.15	$12.69
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.27 / $80.27 / $80.27	Professional	50	$80.27	$80.27	$80.27
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $25.05 / $25.45	Professional	TC	$25.05	$25.05	$25.45
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $6.94 / $10.06 / $23.92	Facility	26	$6.94	$10.06	$23.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $35.34 / $96.24	Professional		$17.50	$35.34	$96.24
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $10.61 / $32.92	Professional	26	$6.94	$10.61	$32.92
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $14.07 / $35.27	Professional	52	$11.76	$14.07	$35.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.18 / $23.41 / $51.64	Professional	TC	$18.18	$23.41	$51.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $27.07 / $40.90	Professional		$8.18	$27.07	$40.90
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.27 / $8.86 / $8.86	Facility	26	$5.27	$8.86	$8.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $33.32 / $52.08	Professional		$22.32	$33.32	$52.08
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $9.51 / $15.36	Professional	26	$6.02	$9.51	$15.36
Priority Health Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $39.76 / $42.42	Professional	50	$35.13	$39.76	$42.42
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $23.96 / $38.39	Professional	TC	$16.13	$23.96	$38.39
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.63 / $7.63 / $8.55	Facility	26	$7.63	$7.63	$8.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $27.54 / $29.84	Professional		$27.16	$27.54	$29.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $7.64 / $8.55	Professional	26	$7.42	$7.64	$8.55
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $19.91 / $21.92	Professional	TC	$18.91	$19.91	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $30.59 / $52.17	Professional		$23.55	$30.59	$52.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $9.00 / $15.04	Professional	26	$7.10	$9.00	$15.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $21.31 / $35.79	Professional	TC	$16.73	$21.31	$35.79