Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $16.55 / $36.19	Facility	26	$12.32	$16.55	$36.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $44.17 / $178.63	Professional		$37.27	$44.17	$178.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $14.49 / $37.34	Professional	26	$11.37	$14.49	$37.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.48 / $20.01 / $25.58	Professional	52	$18.48	$20.01	$25.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.75 / $56.03	Professional	TC	$22.26	$27.75	$56.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $42.98 / $42.98	Professional		$42.98	$42.98	$42.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $13.29 / $20.99	Professional	26	$9.90	$13.29	$20.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $45.53 / $70.84	Professional		$43.87	$45.53	$70.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $13.54 / $26.81	Professional	26	$13.05	$13.54	$26.81
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $32.00 / $48.05	Professional	TC	$30.84	$32.00	$48.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $50.24 / $81.79	Professional		$32.29	$50.24	$81.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $16.22 / $26.50	Professional	26	$9.56	$16.22	$26.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $33.45 / $55.27	Professional	TC	$20.38	$33.45	$55.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $58.72 / $70.87	Professional		$45.12	$58.72	$70.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $17.23 / $26.97	Professional	26	$14.40	$17.23	$26.97
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.92 / $45.91 / $65.36	Professional	TC	$36.92	$45.91	$65.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $50.89 / $67.27	Professional		$49.94	$50.89	$67.27
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.68 / $14.33 / $24.52	Professional	26	$13.68	$14.33	$24.52
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $7.88 / $7.88 / $7.88	Professional	52	$7.88	$7.88	$7.88
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.31 / $46.31 / $46.31	Professional	TC	$46.31	$46.31	$46.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $18.57 / $40.67	Facility	26	$12.32	$18.57	$40.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $53.09 / $158.84	Professional		$38.15	$53.09	$158.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $17.11 / $37.96	Professional	26	$11.74	$17.11	$37.96
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $18.64 / $21.67 / $42.55	Professional	52	$18.64	$21.67	$42.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $32.78 / $61.95	Professional	TC	$25.21	$32.78	$61.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $52.43 / $78.13	Professional		$15.32	$52.43	$78.13
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $50.17 / $81.72	Professional		$32.67	$50.17	$81.72
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $16.00 / $26.50	Professional	26	$9.64	$16.00	$26.50
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $33.08 / $55.22	Professional	TC	$21.98	$33.08	$55.22
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.90 / $12.90 / $14.13	Facility	26	$12.90	$12.90	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $43.25 / $46.84	Professional		$42.65	$43.25	$46.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $12.93 / $14.13	Professional	26	$12.55	$12.93	$14.13
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $30.34 / $33.40	Professional	TC	$29.72	$30.34	$33.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.39 / $80.90	Professional		$36.31	$46.39	$80.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $15.54 / $26.83	Professional	26	$12.31	$15.54	$26.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $31.99 / $55.27	Professional	TC	$23.54	$31.99	$55.27