Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $13.14 / $30.15	Facility	26	$9.18	$13.14	$30.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $30.02 / $92.27	Professional		$25.62	$30.02	$92.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.44 / $27.06	Professional	26	$8.36	$9.44	$27.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $20.05 / $35.33	Professional	TC	$17.18	$20.05	$35.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $7.09 / $10.94	Professional	26	$7.09	$7.09	$10.94
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $32.19 / $51.66	Professional		$31.02	$32.19	$51.66
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $9.76 / $20.30	Professional	26	$9.40	$9.76	$20.30
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $21.61 / $22.43 / $34.47	Professional	TC	$21.61	$22.43	$34.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $38.94 / $61.93	Professional		$24.03	$38.94	$61.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $12.54 / $19.98	Professional	26	$6.97	$12.54	$19.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $26.17 / $42.38	Professional	TC	$16.30	$26.17	$42.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $43.01 / $49.89	Professional		$32.99	$43.01	$49.89
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $12.34 / $19.47	Professional	26	$10.29	$12.34	$19.47
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.91 / $32.15 / $45.76	Professional	TC	$25.91	$32.15	$45.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $39.65	Professional		$37.15	$37.15	$39.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $10.64 / $14.57	Professional	26	$10.50	$10.64	$14.57
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $13.39 / $30.80	Facility	26	$9.18	$13.39	$30.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.36 / $91.65	Professional		$25.76	$31.36	$91.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.34 / $27.94	Professional	26	$8.48	$10.34	$27.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.52 / $47.77	Professional	TC	$17.28	$21.52	$47.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $32.61 / $55.00	Professional		$10.57	$32.61	$55.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $37.64 / $61.87	Professional		$24.24	$37.64	$61.87
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $12.54 / $20.09	Professional	26	$7.32	$12.54	$20.09
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $25.88 / $42.38	Professional	TC	$16.30	$25.88	$42.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $11.00	Facility	26	$9.61	$9.61	$11.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $30.16 / $42.00	Professional		$29.75	$30.16	$42.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.61 / $11.00	Professional	26	$9.38	$9.61	$11.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $20.54 / $31.00	Professional	TC	$20.14	$20.54	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $34.59 / $59.92	Professional		$21.94	$34.59	$59.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $11.66 / $19.41	Professional	26	$7.40	$11.66	$19.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.56 / $37.78	Professional	TC	$15.29	$22.56	$37.78