Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $48.00 / $127.39	Facility		$4.54	$48.00	$127.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $9.97 / $25.32	Facility	26	$6.90	$9.97	$25.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $13.27 / $32.47	Professional		$10.06	$13.27	$32.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.25 / $17.87	Professional	26	$6.67	$8.25	$17.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $12.27	Professional	50	$11.36	$11.36	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $3.89 / $6.50	Professional	TC	$2.99	$3.89	$6.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $11.60 / $11.60	Professional		$11.60	$11.60	$11.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $11.62	Professional		$11.62	$11.62	$11.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $8,459.92 / $79,506.39	Facility		$3.39	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.10 / $27.66	Professional		$11.15	$18.10	$27.66
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $12.41 / $21.86	Professional	26	$7.66	$12.41	$21.86
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $3.50 / $5.01 / $9.82	Professional	TC	$3.50	$5.01	$9.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $11.18 / $78.97	Facility		$5.00	$11.18	$78.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $15.52 / $25.16	Professional		$9.21	$15.52	$25.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $10.91 / $17.85	Professional	26	$6.32	$10.91	$17.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.86 / $4.54 / $8.14	Professional	TC	$2.86	$4.54	$8.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $15.53 / $27.14	Professional		$13.31	$15.53	$27.14
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $11.31 / $17.78	Professional	26	$8.81	$11.31	$17.78
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $5.82 / $9.36	Professional	TC	$4.47	$5.82	$9.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $43.20 / $100.17	Facility		$37.04	$43.20	$100.17
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $11.62	Professional		$10.77	$10.77	$11.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $62.66 / $124.98	Facility		$13.08	$62.66	$124.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.61 / $14.17 / $25.32	Facility	26	$7.61	$14.17	$25.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.36 / $33.85	Professional		$10.19	$14.36	$33.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.27 / $21.55	Professional	26	$6.90	$9.27	$21.55
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $12.27	Professional	50	$11.36	$11.36	$12.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $3.14 / $4.45 / $10.89	Professional	TC	$3.14	$4.45	$10.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $29.70	Professional		$15.00	$15.00	$29.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $10.29 / $78.97	Facility		$5.00	$10.29	$78.97
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.37 / $24.89	Professional		$10.23	$15.37	$24.89
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $10.84 / $17.48	Professional	26	$6.38	$10.84	$17.48
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.63 / $7.68	Professional	TC	$2.88	$4.63	$7.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $12.86	Facility		$11.05	$11.05	$12.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $7.58 / $9.00	Facility	26	$7.58	$7.58	$9.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.05 / $12.86	Professional		$10.78	$11.05	$12.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $7.58 / $9.00	Professional	26	$7.39	$7.58	$9.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $3.47 / $3.86	Professional	TC	$3.39	$3.47	$3.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $64.01 / $83.23	Facility		$33.79	$64.01	$83.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.52 / $22.15	Professional		$9.80	$13.52	$22.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $9.26 / $15.31	Professional	26	$7.06	$9.26	$15.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.98 / $4.28 / $7.36	Professional	TC	$2.98	$4.28	$7.36