Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $29.25 / $48.45	Facility	26	$28.39	$29.25	$48.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $60.89 / $109.25	Professional		$52.47	$60.89	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $29.25 / $67.55	Professional	26	$25.14	$29.25	$67.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $33.03 / $50.31	Professional	TC	$27.81	$33.03	$50.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $58.39 / $59.13	Professional		$54.25	$58.39	$59.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $41.12 / $51.40	Professional	26	$23.50	$41.12	$51.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $64.23 / $107.53	Professional		$61.89	$64.23	$107.53
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $27.24 / $28.27 / $58.34	Professional	26	$27.24	$28.27	$58.34
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $34.64 / $35.95 / $54.89	Professional	TC	$34.64	$35.95	$54.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $75.17 / $137.35	Professional		$59.78	$75.17	$137.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $34.61 / $55.31	Professional	26	$26.99	$34.61	$55.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $39.60 / $65.31	Professional	TC	$31.44	$39.60	$65.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $87.90 / $124.65	Professional		$68.73	$87.90	$124.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $39.03 / $50.65	Professional	26	$29.94	$39.03	$50.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $52.18 / $72.30	Professional	TC	$38.79	$52.18	$72.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $70.92 / $94.14	Professional		$70.31	$70.92	$94.14
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $33.85 / $68.40	Professional	26	$30.13	$33.85	$68.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $27.03 / $38.79 / $48.45	Facility	26	$27.03	$38.79	$48.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $73.29 / $177.25	Professional		$57.34	$73.29	$177.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.48 / $36.65 / $72.00	Professional	26	$26.48	$36.65	$72.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $37.79 / $91.82	Professional	TC	$30.85	$37.79	$91.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $111.30 / $182.50	Professional		$36.60	$111.30	$182.50
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $73.27 / $125.14	Professional		$59.75	$73.27	$125.14
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.50 / $34.26 / $56.23	Professional	26	$26.50	$34.26	$56.23
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.28 / $39.11 / $61.86	Professional	TC	$31.28	$39.11	$61.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $26.95 / $26.95 / $33.84	Facility	26	$26.95	$26.95	$33.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $58.88 / $146.65	Professional		$58.03	$58.88	$146.65
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $26.95 / $33.84	Professional	26	$26.31	$26.95	$33.84
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $31.92 / $112.81	Professional	TC	$31.27	$31.92	$112.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $64.23 / $124.40	Professional		$51.14	$64.23	$124.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $30.70 / $49.48	Professional	26	$23.93	$30.70	$49.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $33.56 / $58.29	Professional	TC	$25.43	$33.56	$58.29