Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $22.39 / $43.65	Facility	26	$11.48	$22.39	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $45.71 / $154.88	Professional		$17.38	$45.71	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $44.67	Professional	26	$10.96	$20.42	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $87.10	Professional	TC	$23.99	$37.15	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $54.95	Professional		$25.12	$34.67	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.49 / $21.38	Professional	26	$9.33	$13.49	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $43.65	Professional	TC	$20.89	$28.18	$43.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $87.10	Professional		$40.74	$47.86	$87.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $30.90	Professional	26	$12.88	$16.60	$30.90
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.20 / $52.48	Professional	TC	$28.18	$30.20	$52.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $81.28	Professional		$31.62	$47.86	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $25.70	Professional	26	$10.00	$16.22	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $54.95	Professional	TC	$20.89	$33.11	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $70.79	Professional		$44.67	$56.23	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $20.89	Professional	26	$12.88	$16.98	$20.89
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $50.12	Professional	TC	$31.62	$39.81	$50.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $87.10	Professional		$30.20	$46.77	$87.10
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $27.54	Professional	26	$10.96	$15.49	$27.54
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $60.26	Professional	TC	$19.05	$31.62	$60.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $56.23	Professional		$45.71	$48.98	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.79 / $19.50	Professional	26	$13.18	$14.79	$19.50
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $36.31 / $50.12	Professional	TC	$35.48	$36.31	$50.12
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $19.05 / $43.65	Facility	26	$11.48	$19.05	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $114.82	Professional		$28.18	$50.12	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $37.15	Professional	26	$10.96	$17.38	$37.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.31 / $69.18	Professional	TC	$23.99	$36.31	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $81.28	Professional		$26.30	$52.48	$81.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $14.45 / $14.45	Facility	26	$12.59	$14.45	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $30.20 / $81.28	Professional		$11.48	$30.20	$81.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.88 / $14.45	Professional	26	$12.30	$12.88	$14.45
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $27.54 / $30.90	Professional	TC	$25.70	$27.54	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $70.79	Professional		$32.36	$41.69	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $23.99	Professional	26	$10.23	$13.80	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $47.86	Professional	TC	$21.88	$27.54	$47.86