Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.44 / $23.19 / $38.40	Facility	26	$21.44	$23.19	$38.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $35.32 / $92.65	Professional		$29.99	$35.32	$92.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $23.19 / $74.97	Professional	26	$19.98	$23.19	$74.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.49 / $16.28 / $18.89	Professional	52	$14.49	$16.28	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.63 / $11.64 / $17.05	Professional	TC	$9.63	$11.64	$17.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $38.13 / $52.12	Professional		$29.13	$38.13	$52.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $31.57 / $41.24	Professional	26	$18.85	$31.57	$41.24
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.08 / $8.08 / $8.19	Professional	52	$8.08	$8.08	$8.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $38.45 / $60.19	Professional		$34.33	$38.45	$60.19
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $25.40 / $39.76	Professional	26	$22.68	$25.40	$39.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $35.22 / $61.27	Professional		$33.94	$35.22	$61.27
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $21.86 / $22.68 / $41.74	Professional	26	$21.86	$22.68	$41.74
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $12.07 / $12.53 / $19.57	Professional	TC	$12.07	$12.53	$19.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $41.97 / $66.58	Professional		$33.39	$41.97	$66.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $27.84 / $44.38	Professional	26	$21.65	$27.84	$44.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.42 / $14.20 / $23.08	Professional	TC	$11.42	$14.20	$23.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $47.06 / $66.73	Professional		$37.49	$47.06	$66.73
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.57 / $40.81	Professional	26	$23.99	$30.57	$40.81
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.50 / $18.28 / $25.15	Professional	TC	$13.50	$18.28	$25.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $41.74 / $49.86	Professional		$38.11	$41.74	$49.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $26.59 / $37.72	Professional	26	$24.18	$26.59	$37.72
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $12.09 / $12.09 / $26.20	Professional	52	$12.09	$12.09	$26.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.67 / $12.67 / $12.67	Professional	TC	$12.67	$12.67	$12.67
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $38.45 / $60.19	Professional		$34.33	$38.45	$60.19
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $25.40 / $39.76	Professional	26	$21.77	$25.40	$39.76
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $21.44 / $24.31 / $45.91	Facility	26	$21.44	$24.31	$45.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $40.36 / $98.94	Professional		$31.17	$40.36	$98.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $28.22 / $66.56	Professional	26	$20.98	$28.22	$66.56
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $14.67 / $16.97 / $30.30	Professional	52	$14.67	$16.97	$30.30
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $10.16 / $12.80 / $26.45	Professional	TC	$10.16	$12.80	$26.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $44.15 / $146.30	Professional		$16.86	$44.15	$146.30
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $41.80 / $66.58	Professional		$32.65	$41.80	$66.58
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $27.64 / $44.38	Professional	26	$21.28	$27.64	$44.38
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.39 / $14.09 / $23.08	Professional	TC	$11.39	$14.09	$23.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $21.62 / $21.62 / $25.20	Facility	26	$21.62	$21.62	$25.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.68 / $37.09	Professional		$32.03	$32.68	$37.09
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $21.62 / $25.20	Professional	26	$21.08	$21.62	$25.20
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $10.87 / $11.06 / $12.18	Professional	TC	$10.87	$11.06	$12.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $36.56 / $59.81	Professional		$28.76	$36.56	$59.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $24.48 / $41.15	Professional	26	$19.63	$24.48	$41.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.14 / $11.75 / $20.00	Professional	TC	$9.14	$11.75	$20.00