Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $19.05 / $39.81	Facility	26	$9.33	$19.05	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $186.21	Professional		$30.90	$50.12	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $39.81	Professional	26	$8.91	$16.22	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $74.13	Professional	TC	$21.88	$33.11	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $48.98	Professional		$25.12	$28.84	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $18.62	Professional	26	$7.08	$10.96	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $25.12	Professional	TC	$18.20	$24.55	$25.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $89.13	Professional		$36.31	$46.77	$89.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $29.51	Professional	26	$10.47	$14.79	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.90 / $57.54	Professional	TC	$26.30	$30.90	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $77.62	Professional		$30.20	$47.86	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $23.44	Professional	26	$8.51	$14.45	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $54.95	Professional	TC	$20.89	$33.88	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $64.57	Professional		$39.81	$51.29	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $16.98	Professional	26	$10.47	$13.80	$16.98
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $47.86	Professional	TC	$29.51	$37.15	$47.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $79.43	Professional		$32.36	$43.65	$79.43
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $23.99	Professional	26	$10.00	$13.49	$23.99
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $56.23	Professional	TC	$21.38	$30.90	$56.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $47.86	Professional		$38.90	$44.67	$47.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.30 / $15.49	Professional	26	$11.48	$12.30	$15.49
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	TC	$42.66	$42.66	$42.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $18.62 / $39.81	Facility	26	$9.33	$18.62	$39.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $100.00	Professional		$32.36	$48.98	$100.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $31.62	Professional	26	$8.91	$14.79	$31.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $66.07	Professional	TC	$22.91	$34.67	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $81.28	Professional		$53.70	$57.54	$81.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $13.49	Facility	26	$10.23	$10.23	$13.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $107.15	Professional		$16.60	$26.92	$107.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.23 / $10.72	Professional	26	$10.00	$10.23	$10.72
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.70 / $28.84	Professional	TC	$25.12	$25.70	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $64.57	Professional		$30.90	$39.81	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $20.89	Professional	26	$9.12	$12.02	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.54 / $45.71	Professional	TC	$21.38	$27.54	$45.71