Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $20.53 / $84.08	Facility	26	$16.85	$20.53	$84.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $43.40 / $56.23	Professional		$26.23	$43.40	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.12 / $22.71	Professional	26	$12.88	$15.12	$22.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $29.51 / $39.67	Professional	TC	$11.63	$29.51	$39.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $44.65 / $63.42	Professional		$37.95	$44.65	$63.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $14.96 / $27.51	Professional	26	$12.72	$14.96	$27.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $29.69 / $42.19	Professional	TC	$21.80	$29.69	$42.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $44.65 / $80.17	Professional		$29.62	$44.65	$80.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $18.47 / $31.25	Professional	26	$14.00	$18.47	$31.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $26.99 / $51.65	Professional	TC	$13.30	$26.99	$51.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $67.51 / $124.89	Professional		$47.96	$67.51	$124.89
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $20.84 / $38.40	Professional	26	$15.86	$20.84	$38.40
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.10 / $46.68 / $86.49	Professional	TC	$32.10	$46.68	$86.49
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $21.54 / $107.00	Facility	26	$18.93	$21.54	$107.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $46.10 / $91.00	Professional		$26.23	$46.10	$91.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $16.77 / $44.77	Professional	26	$13.74	$16.77	$44.77
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $30.35 / $63.53	Professional	TC	$12.47	$30.35	$63.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $47.90 / $128.69	Professional		$27.98	$47.90	$128.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $45.58 / $76.19	Professional		$29.62	$45.58	$76.19
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $18.92 / $32.56	Professional	26	$14.00	$18.92	$32.56
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $27.32 / $49.11	Professional	TC	$13.28	$27.32	$49.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $16.00	Facility	26	$14.27	$14.27	$16.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $44.29 / $47.86	Professional		$28.50	$44.29	$47.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $14.27 / $16.00	Professional	26	$13.94	$14.27	$16.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $12.50 / $30.03 / $33.06	Professional	TC	$12.50	$30.03	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $42.40 / $73.50	Professional		$27.21	$42.40	$73.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.68 / $29.66	Professional	26	$13.50	$17.68	$29.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.82 / $25.48 / $46.11	Professional	TC	$12.82	$25.48	$46.11