Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.37 / $35.82 / $96.73	Facility	26	$31.37	$35.82	$96.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $80.50 / $321.00	Professional		$69.23	$80.50	$321.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $32.64 / $92.31	Professional	26	$28.20	$32.64	$92.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.94 / $47.98 / $83.76	Professional	TC	$40.94	$47.98	$83.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $77.31 / $77.31	Professional		$77.31	$77.31	$77.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $29.21 / $62.68	Professional	26	$25.71	$29.21	$62.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $100.08 / $149.29	Professional		$79.30	$100.08	$149.29
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $43.86 / $65.44	Professional	26	$33.22	$43.86	$65.44
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $46.09 / $56.23 / $86.43	Professional	TC	$46.09	$56.23	$86.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $99.60 / $154.69	Professional		$61.50	$99.60	$154.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.12 / $41.98 / $65.81	Professional	26	$24.12	$41.98	$65.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.50 / $58.06 / $91.77	Professional	TC	$37.50	$58.06	$91.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $109.77 / $133.71	Professional		$89.63	$109.77	$133.71
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $43.63 / $68.77	Professional	26	$36.40	$43.63	$68.77
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $55.17 / $68.65 / $97.77	Professional	TC	$55.17	$68.65	$97.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $98.59 / $98.59	Professional		$98.59	$98.59	$98.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $38.57 / $54.59	Professional	26	$34.02	$38.57	$54.59
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $31.37 / $47.32 / $104.22	Facility	26	$31.37	$47.32	$104.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $86.75 / $253.84	Professional		$72.77	$86.75	$253.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $35.90 / $96.73	Professional	26	$29.60	$35.90	$96.73
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $43.47 / $52.89 / $113.20	Professional	TC	$43.47	$52.89	$113.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $228.00 / $353.20	Professional		$107.80	$228.00	$353.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $99.18 / $154.79	Professional		$62.00	$99.18	$154.79
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $41.98 / $66.06	Professional	26	$24.82	$41.98	$66.06
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.75 / $57.80 / $92.60	Professional	TC	$37.75	$57.80	$92.60
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.85 / $32.85 / $38.60	Facility	26	$32.85	$32.85	$38.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $80.90 / $88.08	Professional		$79.76	$80.90	$88.08
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $32.89 / $38.60	Professional	26	$31.99	$32.89	$38.60
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $47.03 / $48.05 / $52.90	Professional	TC	$47.03	$48.05	$52.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $88.76 / $151.36	Professional		$72.06	$88.76	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.58 / $39.14 / $64.87	Professional	26	$31.58	$39.14	$64.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $51.73 / $85.03	Professional	TC	$40.47	$51.73	$85.03