Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $194.98 / $446.68	Facility		$50.12	$194.98	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $14.79 / $28.84	Facility	26	$7.59	$14.79	$28.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $83.18 / $436.52	Facility	TC	$24.55	$83.18	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $147.91	Professional		$26.92	$45.71	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $31.62	Professional	26	$7.08	$14.45	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $77.62	Professional	TC	$19.05	$30.90	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $41.69	Professional		$18.20	$25.70	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $13.80	Professional	26	$6.92	$8.91	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.88 / $28.84	Professional	TC	$19.05	$21.88	$28.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $89.13 / $125.89 / $181.97	Facility	TC	$89.13	$125.89	$181.97
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $66.07	Professional		$31.62	$37.15	$66.07
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.96 / $19.95	Professional	26	$8.32	$10.96	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.70 / $44.67	Professional	TC	$23.44	$25.70	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $208.93	Facility		$30.90	$66.07	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $63.10	Professional		$24.55	$37.15	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.47 / $16.98	Professional	26	$6.46	$10.47	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $45.71	Professional	TC	$17.38	$26.92	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $54.95	Professional		$33.88	$43.65	$54.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.22 / $13.80	Professional	26	$8.51	$11.22	$13.80
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $40.74	Professional	TC	$25.70	$32.36	$40.74
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	TC	$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $66.07	Professional		$23.44	$35.48	$66.07
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $47.86	Professional	TC	$15.85	$25.70	$47.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $309.03	Facility		$102.33	$181.97	$309.03
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $165.96 / $295.12 / $426.58	Facility	TC	$165.96	$295.12	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $41.69	Professional		$33.11	$38.90	$41.69
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.77 / $14.45	Professional	26	$8.71	$9.77	$14.45
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $41.69	Professional	TC	$29.51	$29.51	$41.69
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $204.17	Facility		$67.61	$91.20	$204.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $177.83 / $436.52	Facility		$44.67	$177.83	$436.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $12.88 / $28.84	Facility	26	$7.59	$12.88	$28.84
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $83.18 / $407.38	Facility	TC	$24.55	$83.18	$407.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $89.13	Professional		$26.92	$42.66	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $26.30	Professional	26	$7.08	$11.75	$26.30
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $56.23	Professional	TC	$19.05	$29.51	$56.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $331.13	Facility		$134.90	$141.25	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $41.69 / $61.66	Professional		$18.62	$41.69	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $31.62	Facility		$16.98	$19.50	$31.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $8.32 / $9.55	Facility	26	$8.32	$8.32	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $21.88 / $22.91	Facility	TC	$21.88	$21.88	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $35.48	Professional		$16.98	$19.95	$35.48
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.32 / $9.55	Professional	26	$8.13	$8.32	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $22.91 / $25.12	Professional	TC	$21.88	$22.91	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $309.03	Facility		$131.83	$234.42	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $53.70	Professional		$25.12	$31.62	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.12 / $15.85	Professional	26	$6.76	$9.12	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $38.90	Professional	TC	$17.78	$22.91	$38.90