Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.14 / $31.49 / $86.15	Facility	26	$18.14	$31.49	$86.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.89 / $49.50	Professional		$18.88	$23.89	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $21.84 / $101.49	Professional	26	$16.30	$21.84	$101.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.62 / $6.06 / $14.31	Professional	TC	$4.62	$6.06	$14.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $30.60 / $39.76	Professional	26	$9.77	$30.60	$39.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $30.45 / $49.42	Professional		$29.34	$30.45	$49.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $21.87 / $35.93	Professional	26	$21.07	$21.87	$35.93
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $8.27 / $8.58 / $13.41	Professional	TC	$8.27	$8.58	$13.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $18.95 / $39.63	Professional		$13.67	$18.95	$39.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.77 / $29.99	Professional	26	$9.94	$13.77	$29.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.23 / $4.62 / $10.52	Professional	TC	$3.23	$4.62	$10.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $42.22 / $55.67	Professional		$18.50	$42.22	$55.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $29.30 / $38.61	Professional	26	$12.96	$29.30	$38.61
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.53 / $12.92 / $17.05	Professional	TC	$5.53	$12.92	$17.05
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $24.93 / $35.35	Professional	26	$21.78	$24.93	$35.35
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $18.14 / $31.49 / $86.15	Facility	26	$18.14	$31.49	$86.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $29.05 / $117.50	Professional		$22.25	$29.05	$117.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $31.54 / $94.85	Professional	26	$17.28	$31.54	$94.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $5.53 / $7.20 / $31.35	Professional	TC	$5.53	$7.20	$31.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $20.95 / $48.77	Professional		$7.93	$20.95	$48.77
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $26.57 / $43.78	Professional		$13.67	$26.57	$43.78
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $19.61 / $32.32	Professional	26	$9.94	$19.61	$32.32
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.23 / $5.81 / $11.39	Professional	TC	$3.23	$5.81	$11.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $28.45 / $30.05	Professional		$25.47	$28.45	$30.05
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $20.86 / $22.75	Professional	26	$19.67	$20.86	$22.75
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $5.79 / $7.55 / $8.35	Professional	TC	$5.79	$7.55	$8.35
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $30.32 / $50.65	Professional		$17.62	$30.32	$50.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $22.61 / $33.92	Professional	26	$12.44	$22.61	$33.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.83 / $6.76 / $11.06	Professional	TC	$3.83	$6.76	$11.06