Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.22 / $12.48 / $20.69	Facility	26	$12.22	$12.48	$20.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $43.56 / $73.40	Professional		$37.33	$43.56	$73.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.22 / $27.64	Professional	26	$10.68	$12.22	$27.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $31.21 / $50.01	Professional	TC	$26.86	$31.21	$50.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $41.09 / $50.18	Professional		$36.97	$41.09	$50.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $13.32 / $18.07	Professional	26	$10.15	$13.32	$18.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $27.01 / $27.01	Professional	TC	$27.01	$27.01	$27.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $45.20 / $80.12	Professional		$43.56	$45.20	$80.12
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $12.22 / $24.42	Professional	26	$11.78	$12.22	$24.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $31.78 / $32.97 / $55.71	Professional	TC	$31.78	$32.97	$55.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.91 / $54.54 / $85.72	Professional		$42.91	$54.54	$85.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $15.31 / $24.55	Professional	26	$11.66	$15.31	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $39.09 / $62.32	Professional	TC	$30.55	$39.09	$62.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $63.11 / $89.49	Professional		$48.59	$63.11	$89.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $16.86 / $21.94	Professional	26	$12.93	$16.86	$21.94
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.67 / $47.64 / $66.47	Professional	TC	$35.67	$47.64	$66.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $51.53 / $61.93	Professional		$44.78	$51.53	$61.93
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $13.69 / $19.48	Professional	26	$12.62	$13.69	$19.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $36.83 / $37.24	Professional	TC	$34.82	$36.83	$37.24
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.12 / $15.59 / $20.89	Facility	26	$12.12	$15.59	$20.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $49.77 / $94.33	Professional		$40.31	$49.77	$94.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.95 / $30.64	Professional	26	$11.24	$13.95	$30.64
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $35.17 / $71.98	Professional	TC	$29.00	$35.17	$71.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $53.35 / $107.00	Professional		$16.23	$53.35	$107.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $53.42 / $85.64	Professional		$42.55	$53.42	$85.64
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $15.01 / $24.55	Professional	26	$11.46	$15.01	$24.55
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.36 / $38.22 / $62.32	Professional	TC	$30.36	$38.22	$62.32
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.19 / $11.65 / $11.65	Facility	26	$11.19	$11.65	$11.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $41.67 / $45.10	Professional		$36.69	$41.67	$45.10
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $11.65 / $12.04	Professional	26	$11.19	$11.65	$12.04
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $30.03 / $33.06	Professional	TC	$25.50	$30.03	$33.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $46.23 / $76.84	Professional		$37.56	$46.23	$76.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $13.16 / $22.42	Professional	26	$10.55	$13.16	$22.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $33.33 / $58.39	Professional	TC	$25.89	$33.33	$58.39