Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.63 / $860.63 / $945.84	Professional		$860.63	$860.63	$945.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.25 / $147.25 / $161.83	Professional	26	$147.25	$147.25	$161.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $713.38 / $713.38 / $784.01	Professional	TC	$713.38	$713.38	$784.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $204.40 / $595.10	Professional		$87.91	$204.40	$595.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $860.63 / $1,177.48 / $1,491.06	Professional		$860.63	$1,177.48	$1,491.06
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.25 / $201.47 / $255.12	Professional	26	$147.25	$201.47	$255.12
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $713.38 / $976.02 / $1,235.94	Professional	TC	$713.38	$976.02	$1,235.94
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.03 / $49.03 / $55.00	Facility	26	$49.03	$49.03	$55.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $265.25 / $289.00	Professional		$227.00	$265.25	$289.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $47.89 / $49.03 / $55.00	Professional	26	$47.89	$49.03	$55.00
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $172.00 / $216.22 / $238.04	Professional	TC	$172.00	$216.22	$238.04