Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $16.22 / $30.90	Facility	26	$8.13	$16.22	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $79.43 / $263.03	Facility	TC	$22.91	$79.43	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $141.25	Professional		$19.95	$38.90	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $38.02	Professional	26	$7.94	$12.59	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $70.79	Professional	TC	$16.98	$25.12	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $45.71	Professional		$19.50	$37.15	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $15.14	Professional	26	$7.24	$9.55	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $13.80 / $13.80	Professional	TC	$13.80	$13.80	$13.80
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $87.10 / $123.03 / $173.78	Facility	TC	$87.10	$123.03	$173.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $54.95	Professional		$32.36	$37.15	$54.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.75 / $17.78	Professional	26	$9.12	$11.75	$17.78
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.12 / $39.81	Professional	TC	$23.44	$25.12	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
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 $23.99 / $37.15 / $64.57	Professional		$23.99	$37.15	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.48 / $18.62	Professional	26	$6.76	$11.48	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.70 / $45.71	Professional	TC	$17.38	$25.70	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $57.54	Professional		$35.48	$45.71	$57.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $14.79	Professional	26	$9.12	$12.02	$14.79
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $42.66	Professional	TC	$26.92	$33.88	$42.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $69.18	Professional		$22.91	$35.48	$69.18
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $19.50	Professional	26	$7.59	$10.23	$19.50
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.70 / $50.12	Professional	TC	$15.14	$25.70	$50.12
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $93.33 / $173.78 / $309.03	Facility	TC	$93.33	$173.78	$309.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $42.66	Professional		$36.31	$39.81	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.72 / $15.49	Professional	26	$9.77	$10.72	$15.49
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	TC	$34.67	$34.67	$34.67
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $14.13 / $30.90	Facility	26	$8.13	$14.13	$30.90
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $83.18 / $263.03	Facility	TC	$23.99	$83.18	$263.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $89.13	Professional		$23.44	$38.90	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $25.70	Professional	26	$7.59	$11.75	$25.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $54.95	Professional	TC	$18.20	$27.54	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $39.81 / $1,071.52	Professional		$16.60	$39.81	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $10.47	Facility	26	$8.91	$8.91	$10.47
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $20.89 / $22.91	Facility	TC	$20.89	$20.89	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $51.29	Professional		$15.49	$20.42	$51.29
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.91 / $10.47	Professional	26	$8.71	$8.91	$10.47
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.39 / $25.12	Professional	TC	$20.89	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $54.95	Professional		$25.70	$32.36	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $16.98	Professional	26	$7.59	$10.00	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.39 / $38.90	Professional	TC	$17.38	$22.39	$38.90