Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.36 / $25.28 / $116.57	Facility	26	$23.36	$25.28	$116.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $53.65 / $92.50	Professional		$38.26	$53.65	$92.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $21.94 / $58.33	Professional	26	$18.57	$21.94	$58.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $33.71 / $50.70	Professional	TC	$17.73	$33.71	$50.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $47.89 / $59.22	Professional		$47.89	$47.89	$59.22
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $55.87 / $82.67	Professional		$47.49	$55.87	$82.67
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $20.91 / $39.06	Professional	26	$17.77	$20.91	$39.06
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $34.96 / $48.40	Professional	TC	$27.02	$34.96	$48.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $58.95 / $98.45	Professional		$44.04	$58.95	$98.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $27.11 / $45.13	Professional	26	$19.55	$27.11	$45.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $32.53 / $59.26	Professional	TC	$19.43	$32.53	$59.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $84.04 / $155.03	Professional		$60.01	$84.04	$155.03
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $29.04 / $53.23	Professional	26	$22.19	$29.04	$53.23
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.81 / $54.99 / $101.77	Professional	TC	$37.81	$54.99	$101.77
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $253.50 / $253.50 / $253.50	Professional	26	$253.50	$253.50	$253.50
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $23.36 / $27.81 / $148.34	Facility	26	$23.36	$27.81	$148.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $62.71 / $110.66	Professional		$39.60	$62.71	$110.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $24.71 / $62.36	Professional	26	$19.41	$24.71	$62.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $36.07 / $66.39	Professional	TC	$18.23	$36.07	$66.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $66.30 / $155.90	Professional		$39.11	$66.30	$155.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $59.06 / $97.11	Professional		$44.27	$59.06	$97.11
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $27.11 / $45.78	Professional	26	$19.55	$27.11	$45.78
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.33 / $57.83	Professional	TC	$19.05	$33.33	$57.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.94 / $19.94 / $31.05	Facility	26	$19.94	$19.94	$31.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $54.39 / $58.58	Professional		$53.61	$54.39	$58.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.94 / $31.05	Professional	26	$19.50	$19.94	$31.05
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.45 / $37.93	Professional	TC	$22.91	$34.45	$37.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $52.80 / $91.77	Professional		$40.84	$52.80	$91.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $24.47 / $39.18	Professional	26	$19.01	$24.47	$39.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $30.23 / $52.46	Professional	TC	$19.27	$30.23	$52.46