Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.28 / $9.44 / $14.14	Facility	26	$8.28	$9.44	$14.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $38.11 / $115.31	Professional		$25.21	$38.11	$115.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $47.07	Professional	25	$37.15	$37.15	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.28 / $32.82	Professional	26	$7.59	$9.28	$32.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $24.95 / $41.42	Professional	TC	$17.05	$24.95	$41.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $25.74 / $36.24	Professional		$23.30	$25.74	$36.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $10.42 / $15.20	Professional	26	$7.60	$10.42	$15.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $34.64 / $54.23	Professional		$30.93	$34.64	$54.23
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.41 / $13.12	Professional	26	$8.91	$9.41	$13.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $27.49 / $69.77	Professional		$26.49	$27.49	$69.77
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.65 / $17.12	Professional	26	$8.06	$10.65	$17.12
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $25.58 / $49.65	Professional	TC	$18.43	$25.58	$49.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $39.29 / $65.14	Professional		$27.23	$39.29	$65.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.01 / $16.36	Professional	26	$7.88	$10.01	$16.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $28.46 / $47.90	Professional	TC	$18.85	$28.46	$47.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $41.65 / $54.92	Professional		$29.47	$41.65	$54.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.59 / $15.22	Professional	26	$8.82	$11.59	$15.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $29.74 / $39.34	Professional	TC	$20.65	$29.74	$39.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $33.82 / $40.54	Professional		$30.52	$33.82	$40.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $10.31 / $18.60	Professional	26	$8.93	$10.31	$18.60
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $23.74 / $81.25	Professional	TC	$23.74	$23.74	$81.25
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $34.64 / $54.23	Professional		$30.93	$34.64	$54.23
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $9.41 / $15.00	Professional	26	$8.40	$9.41	$15.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.27 / $14.29	Facility	26	$7.90	$10.27	$14.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $40.36 / $101.76	Professional		$25.21	$40.36	$101.76
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $47.07	Professional	25	$37.15	$37.15	$47.07
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $11.32 / $25.51	Professional	26	$7.82	$11.32	$25.51
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $26.49 / $45.89	Professional	TC	$17.32	$26.49	$45.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $44.10 / $73.00	Professional		$11.78	$44.10	$73.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $38.59 / $65.78	Professional		$26.41	$38.59	$65.78
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.93 / $16.36	Professional	26	$7.82	$9.93	$16.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $28.15 / $49.42	Professional	TC	$18.67	$28.15	$49.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.96 / $7.96 / $16.34	Facility	26	$7.96	$7.96	$16.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $25.66 / $43.24	Professional		$25.31	$25.66	$43.24
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $7.98 / $16.34	Professional	26	$7.75	$7.98	$16.34
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $17.70 / $26.90	Professional	TC	$17.36	$17.70	$26.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $36.61 / $64.08	Professional		$27.68	$36.61	$64.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.07 / $15.44	Professional	26	$7.00	$9.07	$15.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $27.24 / $47.47	Professional	TC	$20.77	$27.24	$47.47