Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.99 / $6.99 / $44.39	Facility	26	$6.99	$6.99	$44.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $6.75 / $59.57	Professional	26	$5.59	$6.75	$59.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $20.53 / $57.07	Professional	TC	$18.23	$20.53	$57.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.68 / $34.68 / $35.47	Professional	26	$34.68	$34.68	$35.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $41.74 / $41.74 / $41.74	Professional	26	$41.74	$41.74	$41.74
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $125.59 / $125.59 / $125.59	Professional	TC	$125.59	$125.59	$125.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.79 / $31.92 / $53.95	Professional	26	$23.79	$31.92	$53.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.59 / $100.22 / $174.63	Professional	TC	$71.59	$100.22	$174.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $35.29 / $65.23	Professional	26	$26.94	$35.29	$65.23
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.70 / $118.81 / $219.80	Professional	TC	$81.70	$118.81	$219.80
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.74 / $37.89 / $42.31	Professional	26	$34.74	$37.89	$42.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $6.99 / $9.17 / $44.39	Facility	26	$6.99	$9.17	$44.39
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $9.67 / $67.20	Professional	26	$5.99	$9.67	$67.20
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $23.41 / $93.25	Professional	TC	$18.38	$23.41	$93.25
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.79 / $32.15 / $54.77	Professional	26	$23.79	$32.15	$54.77
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.59 / $100.04 / $174.63	Professional	TC	$71.59	$100.04	$174.63
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $33.00 / $33.00 / $33.00	Facility	26	$33.00	$33.00	$33.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $33.00 / $33.00	Professional	26	$33.00	$33.00	$33.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $24.74 / $42.31	Professional	26	$19.59	$24.74	$42.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.91 / $86.69 / $125.65	Professional	TC	$65.91	$86.69	$125.65