Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $19.05 / $35.48	Facility	26	$9.55	$19.05	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $169.82	Professional		$32.36	$56.23	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $33.88	Professional	26	$8.91	$16.60	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $91.20	Professional	TC	$21.88	$35.48	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $72.44	Professional		$28.84	$35.48	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $16.60	Professional	26	$8.51	$12.59	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $26.30 / $47.86	Professional	TC	$22.39	$26.30	$47.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $74.13	Professional		$38.02	$41.69	$74.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.02 / $21.88	Professional	26	$10.72	$12.02	$21.88
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $30.20 / $52.48	Professional	TC	$27.54	$30.20	$52.48
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 Professional Modifier Low / Median / High Price $28.18 / $43.65 / $74.13	Professional		$28.18	$43.65	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $21.38	Professional	26	$7.59	$11.75	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $53.70	Professional	TC	$20.42	$31.62	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $66.07	Professional		$40.74	$52.48	$66.07
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 $30.90 / $38.90 / $48.98	Professional	TC	$30.90	$38.90	$48.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $79.43	Professional		$25.70	$42.66	$79.43
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.75 / $22.39	Professional	26	$7.76	$11.75	$22.39
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $57.54	Professional	TC	$18.20	$30.20	$57.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $50.12	Professional		$41.69	$46.77	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.30 / $17.38	Professional	26	$11.22	$12.30	$17.38
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $48.98	Professional	TC	$34.67	$48.98	$48.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $16.60 / $33.88	Facility	26	$9.77	$16.60	$33.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $107.15	Professional		$32.36	$50.12	$107.15
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $29.51	Professional	26	$8.91	$14.45	$29.51
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $67.61	Professional	TC	$22.91	$34.67	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $74.13	Professional		$22.91	$44.67	$74.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.72	Facility	26	$10.47	$10.47	$10.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $53.70	Professional		$12.02	$22.91	$53.70
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.72 / $10.96	Professional	26	$10.47	$10.72	$10.96
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $26.92 / $30.20	Professional	TC	$23.99	$26.92	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $64.57	Professional		$29.51	$38.90	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $19.95	Professional	26	$8.13	$11.75	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $46.77	Professional	TC	$20.89	$26.92	$46.77