Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $234.42 / $436.52	Facility		$69.18	$234.42	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $19.05 / $39.81	Facility	26	$9.55	$19.05	$39.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $144.54 / $446.68	Facility	TC	$32.36	$144.54	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $169.82	Professional		$33.88	$56.23	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $40.74	Professional	26	$10.00	$15.49	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $102.33	Professional	TC	$23.99	$40.74	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $50.12	Professional		$25.70	$31.62	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $17.78	Professional	26	$8.13	$11.22	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $42.66	Professional	TC	$17.78	$25.70	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $5,011.87 / $57,543.99	Facility		$147.91	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $117.49 / $165.96 / $234.42	Facility	TC	$117.49	$165.96	$234.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $81.28	Professional		$38.02	$43.65	$81.28
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $24.55	Professional	26	$10.72	$14.13	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $56.23	Professional	TC	$27.54	$33.88	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $81.28 / $257.04	Facility		$36.31	$81.28	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	TC	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $75.86	Professional		$30.20	$45.71	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.49 / $22.39	Professional	26	$8.32	$13.49	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $54.95	Professional	TC	$20.89	$32.36	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $69.18	Professional		$42.66	$54.95	$69.18
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $17.38	Professional	26	$10.96	$14.13	$17.38
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $40.74 / $51.29	Professional	TC	$32.36	$40.74	$51.29
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Geisinger Facility/Professional Facility Modifier TC Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	TC	$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $83.18	Professional		$28.18	$44.67	$83.18
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $22.91	Professional	26	$8.91	$12.59	$22.91
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $32.36 / $60.26	Professional	TC	$19.50	$32.36	$60.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $218.78 / $363.08	Facility		$112.20	$218.78	$363.08
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $147.91 / $316.23 / $489.78	Facility	TC	$147.91	$316.23	$489.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $56.23	Professional		$40.74	$44.67	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.59 / $17.78	Professional	26	$11.22	$12.59	$17.78
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $35.48 / $51.29	Professional	TC	$30.20	$35.48	$51.29
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $794.33	Facility		$616.60	$616.60	$794.33
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $95.50 / $95.50	Professional	26	$20.42	$95.50	$95.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $229.09 / $426.58	Facility		$60.26	$229.09	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $15.85 / $39.81	Facility	26	$9.55	$15.85	$39.81
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $141.25 / $446.68	Facility	TC	$32.36	$141.25	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $112.20	Professional		$33.11	$53.70	$112.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $33.88	Professional	26	$9.55	$14.45	$33.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $72.44	Professional	TC	$23.99	$37.15	$72.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $234.42	Facility		$162.18	$169.82	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $46.77 / $75.86	Professional		$11.75	$46.77	$75.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $70.79	Facility		$19.50	$24.55	$70.79
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.02 / $12.02	Facility	26	$10.72	$12.02	$12.02
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $26.30 / $27.54	Facility	TC	$26.30	$26.30	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $70.79	Professional		$21.88	$27.54	$70.79
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.72 / $12.02	Professional	26	$10.23	$10.72	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $27.54 / $30.90	Professional	TC	$26.30	$27.54	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $371.54	Facility		$158.49	$281.84	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $66.07	Professional		$30.90	$38.90	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.75 / $20.42	Professional	26	$8.91	$11.75	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $47.86	Professional	TC	$21.88	$28.18	$47.86