Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.98 / $20.12 / $44.49	Facility	26	$14.98	$20.12	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $40.15 / $118.65	Professional		$34.61	$40.15	$118.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.67 / $40.11	Professional	26	$12.53	$14.67	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $25.10 / $38.01	Professional	TC	$20.81	$25.10	$38.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $36.07 / $57.48	Professional		$32.21	$36.07	$57.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $13.39 / $21.70	Professional	26	$11.98	$13.39	$21.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $42.89 / $46.26	Professional		$40.44	$42.89	$46.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $39.39 / $70.25	Professional		$37.96	$39.39	$70.25
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.66 / $29.64	Professional	26	$14.13	$14.66	$29.64
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.84 / $24.74 / $43.31	Professional	TC	$23.84	$24.74	$43.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $46.13 / $74.92	Professional		$36.86	$46.13	$74.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $17.78 / $28.67	Professional	26	$13.51	$17.78	$28.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.58 / $28.51 / $45.98	Professional	TC	$22.58	$28.51	$45.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $56.88 / $77.02	Professional		$42.26	$56.88	$77.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $20.23 / $26.26	Professional	26	$15.52	$20.23	$26.26
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $36.60 / $49.80	Professional	TC	$26.72	$36.60	$49.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $43.52 / $54.25	Professional		$41.14	$43.52	$54.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $15.64 / $20.16	Professional	26	$14.63	$15.64	$20.16
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $42.89 / $85.86	Professional		$40.44	$42.89	$85.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.98 / $21.09 / $44.49	Facility	26	$14.98	$21.09	$44.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $44.60 / $118.65	Professional		$35.47	$44.60	$118.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $17.42 / $41.12	Professional	26	$13.30	$17.42	$41.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $26.74 / $56.45	Professional	TC	$21.90	$26.74	$56.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $41.40 / $90.10	Professional		$20.66	$41.40	$90.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $45.60 / $75.18	Professional		$36.86	$45.60	$75.18
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $17.48 / $28.67	Professional	26	$13.51	$17.48	$28.67
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.49 / $28.11 / $45.98	Professional	TC	$22.49	$28.11	$45.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.97 / $13.97 / $17.97	Facility	26	$13.97	$13.97	$17.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.72 / $47.56	Professional		$36.22	$36.72	$47.56
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $13.97 / $17.97	Professional	26	$13.64	$13.97	$17.97
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $22.75 / $29.59	Professional	TC	$22.30	$22.75	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $39.86 / $71.01	Professional		$32.22	$39.86	$71.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $15.96 / $27.94	Professional	26	$12.18	$15.96	$27.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $24.54 / $42.70	Professional	TC	$19.55	$24.54	$42.70