Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $23.44 / $42.66	Facility	26	$11.48	$23.44	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $204.17	Professional		$38.02	$60.26	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.78 / $42.66	Professional	26	$10.00	$17.78	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $107.15	Professional	TC	$25.70	$38.02	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $56.23	Professional		$30.20	$42.66	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $17.78	Professional	26	$8.51	$10.47	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $33.11	Professional	TC	$21.88	$27.54	$33.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $79.43	Professional		$44.67	$50.12	$79.43
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $29.51	Professional	26	$12.30	$15.49	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $35.48 / $57.54	Professional	TC	$32.36	$35.48	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $91.20	Professional		$35.48	$53.70	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.49 / $25.12	Professional	26	$9.77	$15.49	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $64.57	Professional	TC	$25.12	$38.02	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $79.43	Professional		$48.98	$63.10	$79.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.60 / $19.95	Professional	26	$12.59	$16.60	$19.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $46.77 / $58.88	Professional	TC	$37.15	$46.77	$58.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $95.50	Professional		$33.11	$52.48	$95.50
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $26.92	Professional	26	$10.47	$14.79	$26.92
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $69.18	Professional	TC	$22.39	$37.15	$69.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $58.88	Professional		$51.29	$56.23	$58.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.45 / $19.05	Professional	26	$13.49	$14.45	$19.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $22.39 / $42.66	Facility	26	$11.48	$22.39	$42.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $117.49	Professional		$38.90	$58.88	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $34.67	Professional	26	$10.96	$16.98	$34.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $79.43	Professional	TC	$27.54	$41.69	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $93.33	Professional		$53.70	$70.79	$93.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $14.13 / $14.13	Facility	26	$12.30	$14.13	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $28.18 / $48.98	Professional		$9.77	$28.18	$48.98
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.30 / $14.13	Professional	26	$12.02	$12.30	$14.13
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $32.36 / $36.31	Professional	TC	$30.20	$32.36	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $77.62	Professional		$36.31	$46.77	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.80 / $23.99	Professional	26	$10.00	$13.80	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $56.23	Professional	TC	$25.12	$33.11	$56.23