Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $223.39	Facility	26	$35.18	$35.18	$223.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $64.40 / $114.61	Professional		$51.82	$64.40	$114.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $32.72 / $62.67	Professional	26	$28.88	$32.72	$62.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $34.04 / $53.73	Professional	TC	$19.32	$34.04	$53.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $80.56 / $82.93	Professional		$57.64	$80.56	$82.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $67.31 / $99.76	Professional		$57.22	$67.31	$99.76
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $32.03 / $58.90	Professional	26	$27.23	$32.03	$58.90
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $35.29 / $49.30	Professional	TC	$27.43	$35.29	$49.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $72.68 / $126.17	Professional		$57.22	$72.68	$126.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $41.08 / $67.92	Professional	26	$29.66	$41.08	$67.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $33.39 / $60.35	Professional	TC	$20.72	$33.39	$60.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $100.05 / $184.72	Professional		$72.14	$100.05	$184.72
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $44.55 / $81.99	Professional	26	$33.97	$44.55	$81.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.17 / $55.51 / $102.73	Professional	TC	$38.17	$55.51	$102.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.90 / $380.90 / $380.90	Professional		$380.90	$380.90	$380.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.47 / $40.17 / $42.28	Professional	26	$39.47	$40.17	$42.28
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $44.04 / $223.39	Facility	26	$35.18	$44.04	$223.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $73.17 / $158.19	Professional		$52.54	$73.17	$158.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $36.13 / $90.34	Professional	26	$29.35	$36.13	$90.34
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $37.65 / $67.03	Professional	TC	$19.34	$37.65	$67.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $88.90 / $183.20	Professional		$48.12	$88.90	$183.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $73.44 / $126.17	Professional		$57.22	$73.44	$126.17
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $41.08 / $69.14	Professional	26	$29.66	$41.08	$69.14
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $33.94 / $58.40	Professional	TC	$20.39	$33.94	$58.40
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $30.54 / $30.54 / $37.50	Facility	26	$30.54	$30.54	$37.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $65.63 / $70.29	Professional		$57.50	$65.63	$70.29
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.85 / $30.54 / $37.50	Professional	26	$29.85	$30.54	$37.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.00 / $35.09 / $38.63	Professional	TC	$20.00	$35.09	$38.63
United Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $65.64 / $112.00	Professional		$52.76	$65.64	$112.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.12 / $39.11 / $62.35	Professional	26	$29.12	$39.11	$62.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $30.48 / $53.43	Professional	TC	$20.87	$30.48	$53.43