Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.85 / $30.90	Facility	26	$7.94	$15.85	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $151.36	Professional		$25.70	$40.74	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $25.70	Professional	26	$7.08	$10.96	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $69.18	Professional	TC	$18.20	$25.70	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $27.54	Professional		$20.42	$25.70	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $5.75 / $5.75	Professional	26	$5.75	$5.75	$5.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	TC	$19.50	$19.50	$19.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $54.95	Professional		$30.90	$38.02	$54.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $20.42	Professional	26	$8.32	$10.72	$20.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $26.92 / $39.81	Professional	TC	$22.91	$26.92	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $63.10	Professional		$25.12	$38.02	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.47 / $16.98	Professional	26	$6.46	$10.47	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $46.77	Professional	TC	$18.20	$27.54	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $54.95	Professional		$34.67	$43.65	$54.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.22 / $13.80	Professional	26	$8.51	$11.22	$13.80
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 $25.12 / $37.15 / $67.61	Professional		$25.12	$37.15	$67.61
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $48.98	Professional	TC	$16.98	$26.92	$48.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.12 / $12.30	Professional	26	$8.71	$9.12	$12.30
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.85 / $28.84	Facility	26	$7.94	$15.85	$28.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $85.11	Professional		$26.92	$40.74	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $23.44	Professional	26	$7.08	$11.22	$23.44
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $58.88	Professional	TC	$19.50	$28.84	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $64.57	Professional		$40.74	$48.98	$64.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.55 / $9.55	Facility	26	$8.32	$9.55	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $33.88	Professional		$15.49	$19.05	$33.88
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.51 / $9.55	Professional	26	$8.13	$8.51	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $23.44 / $25.12	Professional	TC	$22.39	$23.44	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $53.70	Professional		$25.12	$32.36	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.12 / $15.85	Professional	26	$6.76	$9.12	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $38.90	Professional	TC	$17.78	$22.91	$38.90