Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $16.80 / $42.69	Facility	26	$14.27	$16.80	$42.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $50.28 / $231.00	Professional		$41.21	$50.28	$231.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $16.80 / $41.81	Professional	26	$13.29	$16.80	$41.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $34.20 / $65.13	Professional	TC	$27.80	$34.20	$65.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $91.46 / $91.46	Professional		$37.13	$91.46	$91.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $15.86 / $29.10	Professional	26	$11.96	$15.86	$29.10
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $70.41 / $97.71	Professional		$48.47	$70.41	$97.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $15.42 / $24.98 / $37.24	Professional	26	$15.42	$24.98	$37.24
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $33.04 / $45.07 / $60.48	Professional	TC	$33.04	$45.07	$60.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $57.38 / $91.79	Professional		$37.35	$57.38	$91.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $18.73 / $29.96	Professional	26	$11.51	$18.73	$29.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $39.01 / $62.79	Professional	TC	$24.97	$39.01	$62.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $64.67 / $77.88	Professional		$54.53	$64.67	$77.88
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $20.29 / $31.92	Professional	26	$16.94	$20.29	$31.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $49.23 / $70.06	Professional	TC	$39.59	$49.23	$70.06
Highmark BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	26	$85.33	$85.33	$85.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.10 / $60.61	Professional		$55.08	$55.10	$60.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.65 / $18.18 / $23.15	Professional	26	$15.65	$18.18	$23.15
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.44 / $39.44 / $40.29	Professional	TC	$39.44	$39.44	$40.29
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.12 / $19.71 / $46.67	Facility	26	$14.12	$19.71	$46.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $57.16 / $148.32	Professional		$43.44	$57.16	$148.32
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $20.12 / $41.81	Professional	26	$13.60	$20.12	$41.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $36.81 / $83.16	Professional	TC	$29.79	$36.81	$83.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $55.50 / $91.02	Professional		$17.73	$55.50	$91.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $17.36 / $17.36	Facility	26	$10.23	$17.36	$17.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $56.98 / $90.70	Professional		$38.54	$56.98	$90.70
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $18.68 / $30.67	Professional	26	$11.62	$18.68	$30.67
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.65 / $39.01 / $60.94	Professional	TC	$26.65	$39.01	$60.94
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $15.25 / $15.25 / $17.50	Facility	26	$15.25	$15.25	$17.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $48.12 / $52.02	Professional		$45.50	$48.12	$52.02
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $15.27 / $17.50	Professional	26	$14.85	$15.27	$17.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $32.86 / $36.19	Professional	TC	$28.00	$32.86	$36.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $52.45 / $87.51	Professional		$41.01	$52.45	$87.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $17.70 / $30.15	Professional	26	$14.34	$17.70	$30.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $35.40 / $58.18	Professional	TC	$27.70	$35.40	$58.18