Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $14.79 / $28.18	Facility	26	$7.08	$14.79	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $69.18	Professional		$19.95	$30.20	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.48 / $25.70	Professional	26	$6.03	$11.48	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $37.15	Professional	TC	$12.88	$18.20	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $19.50	Professional		$15.85	$16.60	$19.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.33 / $12.88	Professional	26	$6.31	$9.33	$12.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $52.48	Professional		$23.44	$28.18	$52.48
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $16.98	Professional	26	$7.76	$9.77	$16.98
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $18.20 / $33.11	Professional	TC	$15.85	$18.20	$33.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $48.98	Professional		$19.05	$28.84	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.33 / $15.49	Professional	26	$5.75	$9.33	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $19.50 / $32.36	Professional	TC	$12.59	$19.50	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $40.74	Professional		$25.12	$32.36	$40.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.23 / $12.59	Professional	26	$7.76	$10.23	$12.59
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.88 / $28.18	Professional	TC	$17.38	$21.88	$28.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $48.98	Professional		$18.20	$26.92	$48.98
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.91 / $16.60	Professional	26	$6.17	$8.91	$16.60
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $18.20 / $33.11	Professional	TC	$11.75	$18.20	$33.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.12 / $16.98	Professional	26	$8.51	$9.12	$16.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $14.79 / $25.70	Facility	26	$7.08	$14.79	$25.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $60.26	Professional		$19.95	$30.90	$60.26
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.47 / $22.39	Professional	26	$6.17	$10.47	$22.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.95 / $39.81	Professional	TC	$13.49	$19.95	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $29.51 / $46.77	Professional		$8.51	$29.51	$46.77
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.13	Facility	26	$8.13	$8.13	$8.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $24.55	Professional		$6.03	$12.02	$24.55
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.13	Professional	26	$8.13	$8.13	$8.13
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $16.22	Professional	TC	$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $40.74	Professional		$19.50	$24.55	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $14.45	Professional	26	$6.03	$8.32	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.22 / $28.18	Professional	TC	$12.88	$16.22	$28.18