Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $15.49 / $28.84	Facility	26	$7.76	$15.49	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $144.54	Professional		$25.12	$40.74	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.79 / $48.98	Professional	26	$7.08	$14.79	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $81.28 / $190.55	Professional	50	$36.31	$81.28	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $52.48	Professional	TC	$18.20	$25.12	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.88 / $12.88	Professional	26	$12.59	$12.88	$12.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	50	$64.57	$64.57	$64.57
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $54.95	Professional		$31.62	$35.48	$54.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $20.42	Professional	26	$8.71	$10.72	$20.42
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $70.79 / $109.65	Professional	50	$64.57	$70.79	$109.65
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.12 / $39.81	Professional	TC	$23.44	$25.12	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $60.26	Professional		$23.44	$34.67	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.47 / $17.38	Professional	26	$6.46	$10.47	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $45.71	Professional	TC	$16.22	$25.12	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $56.23	Professional		$34.67	$44.67	$56.23
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $14.13	Professional	26	$8.91	$11.48	$14.13
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $41.69	Professional	TC	$25.70	$33.11	$41.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $67.61	Professional		$19.05	$33.88	$67.61
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.23 / $18.62	Professional	26	$7.08	$10.23	$18.62
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $24.55 / $48.98	Professional	TC	$12.30	$24.55	$48.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $56.23	Professional		$9.12	$9.12	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $23.99	Professional	26	$9.12	$10.47	$23.99
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $72.44 / $83.18	Professional	50	$19.50	$72.44	$83.18
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $13.49 / $27.54	Facility	26	$7.76	$13.49	$27.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $85.11	Professional		$25.70	$39.81	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $26.30	Professional	26	$7.08	$12.02	$26.30
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $93.33 / $177.83	Professional	50	$36.31	$93.33	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.54 / $54.95	Professional	TC	$18.62	$27.54	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $63.10	Professional		$19.50	$33.11	$63.10
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $9.55 / $9.55	Facility	26	$8.71	$9.55	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $38.90	Professional		$15.49	$19.50	$38.90
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.71 / $9.55	Professional	26	$8.32	$8.71	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $25.12	Professional	TC	$15.85	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $53.70	Professional		$22.39	$31.62	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $15.49	Professional	26	$6.61	$8.91	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $38.90	Professional	TC	$15.85	$22.91	$38.90