Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.19 / $18.25 / $27.90	Facility	26	$14.19	$18.25	$27.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $56.35 / $109.99	Professional		$36.44	$56.35	$109.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $13.87 / $42.45	Professional	26	$7.61	$13.87	$42.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $41.74 / $147.53	Professional	TC	$22.64	$41.74	$147.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $56.75 / $56.75	Professional		$56.75	$56.75	$56.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $17.48 / $22.00	Professional	26	$11.65	$17.48	$22.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $67.31 / $98.01	Professional		$41.75	$67.31	$98.01
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $16.07 / $24.77	Professional	26	$15.05	$16.07	$24.77
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $43.49 / $83.18	Professional	TC	$26.70	$43.49	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $65.88 / $127.35	Professional		$37.33	$65.88	$127.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.16 / $26.20	Professional	26	$7.97	$12.16	$26.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $53.00 / $113.45	Professional	TC	$25.19	$53.00	$113.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $65.22 / $90.94	Professional		$50.36	$65.22	$90.94
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $19.85 / $31.02	Professional	26	$16.64	$19.85	$31.02
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $39.75 / $56.58	Professional	TC	$31.99	$39.75	$56.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $51.70 / $51.70	Professional		$51.70	$51.70	$51.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $17.78 / $25.21	Professional	26	$15.30	$17.78	$25.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.52 / $19.60 / $47.15	Facility	26	$13.52	$19.60	$47.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $59.15 / $117.08	Professional		$37.50	$59.15	$117.08
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.37 / $37.32	Professional	26	$8.13	$15.37	$37.32
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.09 / $147.53	Professional	TC	$23.99	$40.09	$147.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $73.30 / $115.10	Professional		$57.20	$73.30	$115.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.51 / $16.93 / $16.93	Facility	26	$5.51	$16.93	$16.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $63.96 / $127.23	Professional		$36.86	$63.96	$127.23
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $12.59 / $25.41	Professional	26	$8.19	$12.59	$25.41
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $50.71 / $107.99	Professional	TC	$25.19	$50.71	$107.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.50 / $15.19 / $15.19	Facility	26	$9.50	$15.19	$15.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.74 / $91.00	Professional		$41.04	$41.74	$91.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $15.32 / $15.84	Professional	26	$9.50	$15.32	$15.84
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $26.55 / $81.50	Professional	TC	$26.01	$26.55	$81.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $51.59 / $93.70	Professional		$36.56	$51.59	$93.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.88 / $28.76	Professional	26	$8.51	$15.88	$28.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $34.22 / $81.27	Professional	TC	$23.03	$34.22	$81.27