Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $26.30 / $46.77	Facility	26	$12.02	$26.30	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $100.00 / $354.81	Facility	TC	$33.88	$100.00	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $204.17	Professional		$33.88	$48.98	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $43.65	Professional	26	$10.96	$16.98	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $75.86	Professional	TC	$21.88	$30.20	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $38.90	Professional		$23.99	$34.67	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.02 / $22.39	Professional	26	$11.22	$12.02	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $27.54	Professional	TC	$22.39	$22.39	$27.54
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $112.20 / $158.49 / $223.87	Facility	TC	$112.20	$158.49	$223.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $72.44	Professional		$41.69	$48.98	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $25.70	Professional	26	$12.88	$16.60	$25.70
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $30.90 / $50.12	Professional	TC	$28.84	$30.90	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.92 / $32.36 / $46.77	Facility	TC	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $81.28	Professional		$30.90	$48.98	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.60 / $26.92	Professional	26	$9.55	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $56.23	Professional	TC	$21.88	$33.11	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $70.79	Professional		$44.67	$57.54	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.60 / $19.95	Professional	26	$12.59	$16.60	$19.95
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 Professional Modifier Low / Median / High Price $30.20 / $43.65 / $87.10	Professional		$30.20	$43.65	$87.10
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.79 / $26.92	Professional	26	$10.96	$14.79	$26.92
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $60.26	Professional	TC	$19.05	$30.90	$60.26
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $190.55 / $380.19 / $645.65	Facility	TC	$190.55	$380.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $53.70	Professional		$43.65	$47.86	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.80 / $15.85	Professional	26	$13.18	$13.80	$15.85
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $23.44 / $45.71	Facility	26	$13.80	$23.44	$45.71
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $91.20 / $354.81	Facility	TC	$33.88	$91.20	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $117.49	Professional		$34.67	$51.29	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.60 / $35.48	Professional	26	$10.96	$16.60	$35.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $70.79	Professional	TC	$22.91	$34.67	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $46.77 / $75.86	Professional		$13.80	$46.77	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $15.14 / $15.14	Facility	26	$12.59	$15.14	$15.14
UPMC Health Plan Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $26.30 / $28.84	Facility	TC	$26.30	$26.30	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $81.28	Professional		$23.99	$30.90	$81.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.88 / $15.14	Professional	26	$12.30	$12.88	$15.14
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $28.84 / $31.62	Professional	TC	$26.30	$28.84	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $72.44	Professional		$33.11	$42.66	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $23.99	Professional	26	$10.72	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $50.12	Professional	TC	$21.88	$28.18	$50.12