Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.27 / $3.27 / $9.71	Facility	26	$3.27	$3.27	$9.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $22.54 / $30.74	Professional		$13.89	$22.54	$30.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $4.70 / $8.13	Professional	26	$2.61	$4.70	$8.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.11 / $17.64 / $24.67	Professional	TC	$11.11	$17.64	$24.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $15.36	Professional		$13.06	$13.06	$15.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $2.52 / $3.32	Professional	26	$2.52	$2.52	$3.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $14.97 / $39.33	Professional		$14.43	$14.97	$39.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $2.67 / $2.77 / $10.27	Professional	26	$2.67	$2.77	$10.27
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $11.76 / $12.20 / $35.19	Professional	TC	$11.76	$12.20	$35.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $25.27 / $42.69	Professional		$14.97	$25.27	$42.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.72 / $5.64 / $9.35	Professional	26	$2.72	$5.64	$9.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.20 / $19.42 / $33.26	Professional	TC	$12.20	$19.42	$33.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $23.00 / $30.64	Professional		$16.02	$23.00	$30.64
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.87 / $3.85 / $5.40	Professional	26	$2.87	$3.85	$5.40
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.15 / $19.05 / $25.24	Professional	TC	$13.15	$19.05	$25.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.30 / $4.38 / $4.47	Professional	26	$4.30	$4.38	$4.47
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $3.27 / $6.47 / $9.71	Facility	26	$3.27	$6.47	$9.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $24.71 / $49.50	Professional		$14.25	$24.71	$49.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $5.03 / $14.22	Professional	26	$2.68	$5.03	$14.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $11.33 / $19.69 / $39.79	Professional	TC	$11.33	$19.69	$39.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $21.60 / $49.00	Professional		$3.91	$21.60	$49.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $24.65 / $44.15	Professional		$14.46	$24.65	$44.15
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.66 / $5.64 / $9.52	Professional	26	$2.66	$5.64	$9.52
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.90 / $19.18 / $33.67	Professional	TC	$11.90	$19.18	$33.67
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $2.63 / $9.42	Facility	26	$2.63	$2.63	$9.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $14.01 / $22.21	Professional		$13.79	$14.01	$22.21
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $2.67 / $9.42	Professional	26	$2.52	$2.67	$9.42
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.18 / $11.37 / $12.79	Professional	TC	$11.18	$11.37	$12.79
United Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $23.83 / $41.84	Professional		$17.95	$23.83	$41.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.37 / $5.04 / $8.69	Professional	26	$3.37	$5.04	$8.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.78 / $18.05 / $32.33	Professional	TC	$13.78	$18.05	$32.33