Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $20.89 / $29.51	Facility	26	$7.94	$20.89	$29.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $53.70 / $97.72	Facility	TC	$21.38	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $89.13	Professional		$19.05	$30.20	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.96 / $37.15	Professional	26	$6.76	$10.96	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $47.86	Professional	TC	$15.85	$21.88	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.76 / $8.51	Professional	26	$7.24	$7.76	$8.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $117.49 / $169.82	Facility	TC	$83.18	$117.49	$169.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $48.98	Professional		$28.84	$34.67	$48.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $15.85	Professional	26	$7.94	$10.47	$15.85
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.44 / $35.48	Professional	TC	$20.89	$23.44	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	TC	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $56.23	Professional		$21.88	$34.67	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.23 / $16.60	Professional	26	$6.03	$10.23	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $42.66	Professional	TC	$15.85	$24.55	$42.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $50.12	Professional		$30.90	$39.81	$50.12
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $13.18	Professional	26	$8.13	$10.72	$13.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $37.15	Professional	TC	$22.91	$29.51	$37.15
Geisinger Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $60.26	Professional		$20.89	$31.62	$60.26
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.12 / $17.38	Professional	26	$6.76	$9.12	$17.38
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $22.39 / $43.65	Professional	TC	$14.45	$22.39	$43.65
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $56.23 / $123.03 / $537.03	Facility	TC	$56.23	$123.03	$537.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $14.79	Professional	26	$8.32	$8.91	$14.79
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $16.22 / $27.54	Facility	26	$8.71	$16.22	$27.54
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $44.67 / $97.72	Facility	TC	$23.44	$44.67	$97.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $75.86	Professional		$22.91	$35.48	$75.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.72 / $23.99	Professional	26	$6.92	$10.72	$23.99
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $51.29	Professional	TC	$16.98	$25.12	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $67.61	Professional		$14.79	$33.11	$67.61
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.33 / $9.33	Facility	26	$7.94	$9.33	$9.33
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $19.95 / $20.42	Facility	TC	$19.95	$19.95	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $54.95	Professional		$13.18	$19.95	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.32 / $9.33	Professional	26	$7.76	$8.32	$9.33
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $22.39	Professional	TC	$19.95	$19.95	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $50.12	Professional		$23.44	$29.51	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.91 / $15.14	Professional	26	$6.76	$8.91	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.89 / $36.31	Professional	TC	$16.22	$20.89	$36.31