Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.37 / $8.05 / $12.26	Facility	26	$7.37	$8.05	$12.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $35.95 / $127.38	Professional		$23.65	$35.95	$127.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.71 / $32.47	Professional	26	$6.65	$9.71	$32.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $22.51 / $35.61	Professional	TC	$16.80	$22.51	$35.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.88	Professional		$23.22	$23.22	$23.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.64 / $13.30	Professional	26	$9.98	$10.64	$13.30
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.14 / $9.61	Professional	26	$8.32	$9.14	$9.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $39.38 / $96.28	Professional		$23.89	$39.38	$96.28
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.41 / $18.60	Professional	26	$7.05	$11.41	$18.60
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $27.96 / $80.42	Professional	TC	$16.84	$27.96	$80.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $39.08 / $71.34	Professional		$25.03	$39.08	$71.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.82 / $15.70	Professional	26	$6.98	$9.82	$15.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.28 / $29.65 / $56.78	Professional	TC	$18.28	$29.65	$56.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $38.32 / $77.54	Professional		$30.56	$38.32	$77.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $10.47 / $21.18	Professional	26	$8.47	$10.47	$21.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $27.85 / $56.36	Professional	TC	$21.96	$27.85	$56.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $8.90 / $8.90	Professional	26	$8.90	$8.90	$8.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $9.17 / $14.99	Professional	26	$8.81	$9.17	$14.99
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.37 / $10.03 / $40.17	Facility	26	$7.37	$10.03	$40.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $43.19 / $116.00	Professional		$24.70	$43.19	$116.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $10.84 / $30.61	Professional	26	$6.70	$10.84	$30.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $24.36 / $62.74	Professional	TC	$16.80	$24.36	$62.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $39.50 / $69.00	Professional		$11.51	$39.50	$69.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $37.85 / $71.34	Professional		$24.80	$37.85	$71.34
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $9.65 / $16.43	Professional	26	$6.98	$9.65	$16.43
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $27.45 / $56.78	Professional	TC	$18.05	$27.45	$56.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.97 / $6.97 / $17.19	Facility	26	$6.97	$6.97	$17.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $24.04 / $55.93	Professional		$23.68	$24.04	$55.93
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $6.99 / $17.19	Professional	26	$6.78	$6.99	$17.19
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $17.07 / $38.74	Professional	TC	$16.69	$17.07	$38.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $37.11 / $57.33	Professional		$25.71	$37.11	$57.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.49 / $14.71	Professional	26	$7.28	$9.49	$14.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $27.39 / $43.54	Professional	TC	$18.26	$27.39	$43.54