Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $50.95 / $71.22	Professional		$40.54	$50.95	$71.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $8.32 / $10.83	Professional	26	$7.01	$8.32	$10.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.52 / $42.31 / $60.45	Professional	TC	$33.52	$42.31	$60.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $91.48	Professional		$91.48	$91.48	$91.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $54.21 / $100.61	Professional		$52.24	$54.21	$100.61
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $9.02 / $17.51	Professional	26	$8.69	$9.02	$17.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $43.54 / $45.19 / $83.14	Professional	TC	$43.54	$45.19	$83.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $51.44 / $83.63	Professional		$38.47	$51.44	$83.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $9.44 / $16.07	Professional	26	$6.70	$9.44	$16.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.82 / $41.87 / $70.23	Professional	TC	$31.82	$41.87	$70.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $85.29 / $85.29	Professional		$66.14	$85.29	$85.29
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $12.97 / $12.97	Professional	26	$10.06	$12.97	$12.97
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $56.08 / $72.31 / $72.31	Professional	TC	$56.08	$72.31	$72.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $66.43 / $66.88	Professional		$65.97	$66.43	$66.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $53.21 / $75.27	Professional		$44.01	$53.21	$75.27
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.85 / $13.47	Professional	26	$7.24	$8.85	$13.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $36.54 / $44.43 / $79.12	Professional	TC	$36.54	$44.43	$79.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $34.50 / $85.26	Professional		$17.48	$34.50	$85.26
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $54.20 / $90.97	Professional		$38.47	$54.20	$90.97
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.43 / $16.64	Professional	26	$6.56	$9.43	$16.64
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.91 / $43.13 / $73.04	Professional	TC	$30.91	$43.13	$73.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $50.80 / $55.94	Professional		$32.47	$50.80	$55.94
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $8.60 / $8.98	Professional	26	$8.38	$8.60	$8.98
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $42.42 / $46.98	Professional	TC	$23.49	$42.42	$46.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $50.79 / $83.19	Professional		$36.14	$50.79	$83.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $9.09 / $15.40	Professional	26	$6.13	$9.09	$15.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.90 / $41.60 / $65.84	Professional	TC	$28.90	$41.60	$65.84