Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $12.85 / $12.85	Facility	26	$11.62	$12.85	$12.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $41.15 / $63.23	Professional		$35.74	$41.15	$63.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.08 / $18.44	Professional	26	$10.78	$12.08	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $28.43 / $41.88	Professional	TC	$24.81	$28.43	$41.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $44.54 / $75.94	Professional		$42.92	$44.54	$75.94
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $12.55 / $24.42	Professional	26	$12.09	$12.55	$24.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $32.00 / $52.51	Professional	TC	$30.84	$32.00	$52.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $52.61 / $85.01	Professional		$41.67	$52.61	$85.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $15.41 / $24.55	Professional	26	$11.98	$15.41	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.09 / $36.89 / $61.06	Professional	TC	$29.09	$36.89	$61.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $62.34 / $88.14	Professional		$47.88	$62.34	$88.14
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $16.97 / $22.61	Professional	26	$13.29	$16.97	$22.61
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.60 / $46.21 / $64.47	Professional	TC	$34.60	$46.21	$64.47
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.85 / $12.85 / $12.85	Facility	26	$12.85	$12.85	$12.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $42.57 / $77.09	Professional		$36.29	$42.57	$77.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.66 / $24.04	Professional	26	$11.06	$12.66	$24.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $29.92 / $60.72	Professional	TC	$24.95	$29.92	$60.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $51.59 / $103.10	Professional		$16.68	$51.59	$103.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $51.94 / $85.01	Professional		$40.75	$51.94	$85.01
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $15.35 / $24.69	Professional	26	$11.79	$15.35	$24.69
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $36.27 / $61.06	Professional	TC	$28.60	$36.27	$61.06
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $11.19 / $11.96 / $11.96	Facility	26	$11.19	$11.96	$11.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.88 / $40.92	Professional		$36.69	$37.88	$40.92
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $11.96 / $12.39	Professional	26	$11.19	$11.96	$12.39
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $25.92 / $28.54	Professional	TC	$25.39	$25.92	$28.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $43.56 / $74.89	Professional		$35.15	$43.56	$74.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $13.56 / $23.08	Professional	26	$10.84	$13.56	$23.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.06 / $30.74 / $52.77	Professional	TC	$24.06	$30.74	$52.77