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 $33.88 / $54.95 / $190.55	Professional		$33.88	$54.95	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $54.95	Professional	26	$10.96	$19.05	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $97.72	Professional	TC	$22.39	$33.11	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $56.23	Professional		$28.18	$29.51	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $19.05	Professional	26	$8.71	$12.30	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	TC	$25.70	$25.70	$25.70
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $72.44	Professional		$41.69	$48.98	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.22 / $25.12	Professional	26	$12.30	$16.22	$25.12
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $31.62 / $50.12	Professional	TC	$29.51	$31.62	$50.12
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 $31.62 / $47.86 / $83.18	Professional		$31.62	$47.86	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $26.30	Professional	26	$9.55	$16.22	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $57.54	Professional	TC	$21.88	$33.11	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $75.86	Professional		$46.77	$60.26	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.98 / $20.89	Professional	26	$13.18	$16.98	$20.89
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $42.66 / $54.95	Professional	TC	$33.88	$42.66	$54.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $91.20	Professional		$29.51	$46.77	$91.20
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $27.54	Professional	26	$10.72	$14.45	$27.54
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $64.57	Professional	TC	$19.05	$32.36	$64.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $51.29	Professional		$46.77	$47.86	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $23.44	Professional	26	$12.88	$14.13	$23.44
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $22.39 / $43.65	Facility	26	$11.75	$22.39	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $120.23	Professional		$34.67	$53.70	$120.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $36.31	Professional	26	$10.47	$17.38	$36.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $74.13	Professional	TC	$23.44	$35.48	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $50.12 / $97.72	Professional		$13.80	$50.12	$97.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $14.79 / $14.79	Facility	26	$12.30	$14.79	$14.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $85.11	Professional		$25.12	$40.74	$85.11
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.59 / $14.79	Professional	26	$12.02	$12.59	$14.79
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $28.18 / $31.62	Professional	TC	$26.30	$28.18	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $72.44	Professional		$33.88	$42.66	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $23.99	Professional	26	$10.72	$14.13	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $50.12	Professional	TC	$21.88	$28.18	$50.12