Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $42.66 / $125.89	Facility		$13.18	$42.66	$125.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $22.39 / $32.36	Facility	26	$8.32	$22.39	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $37.15	Professional		$10.00	$15.49	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $33.88	Professional	26	$6.03	$9.12	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $12.30 / $12.30	Professional	50	$11.48	$12.30	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.98 / $10.23	Professional	TC	$2.00	$3.98	$10.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $16.98	Professional		$7.94	$9.77	$16.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5,011.87 / $57,543.99	Facility		$3.55	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $27.54	Professional		$11.22	$11.48	$27.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $7.94 / $21.88	Professional	26	$7.59	$7.94	$21.88
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $3.63 / $9.77	Professional	TC	$3.47	$3.63	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.23 / $63.10	Facility		$5.75	$10.23	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $25.12	Professional		$9.12	$15.14	$25.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.72 / $16.98	Professional	26	$6.31	$10.72	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $4.47 / $8.71	Professional	TC	$2.69	$4.47	$8.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $19.95	Professional		$13.80	$16.22	$19.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $12.59	Professional	26	$6.61	$10.47	$12.59
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.37 / $7.24	Professional	TC	$3.55	$5.37	$7.24
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $24.55	Professional		$10.96	$14.79	$24.55
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.47 / $16.60	Professional	26	$7.59	$10.47	$16.60
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $2.09 / $4.27 / $7.76	Professional	TC	$2.09	$4.27	$7.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $91.20	Facility		$37.15	$63.10	$91.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $37.15 / $114.82	Facility		$10.96	$37.15	$114.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $20.42 / $32.36	Facility	26	$8.32	$20.42	$32.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $36.31	Professional		$10.00	$15.49	$36.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.77 / $22.91	Professional	26	$6.17	$9.77	$22.91
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $12.30 / $29.51	Professional	50	$11.48	$12.30	$29.51
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.57 / $9.55	Professional	TC	$3.02	$4.57	$9.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Facility		$17.78	$17.78	$23.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $29.51	Professional		$15.14	$20.89	$29.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $23.44	Facility		$9.77	$14.45	$23.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $8.91 / $8.91	Facility	26	$7.59	$8.91	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $23.44	Professional		$8.32	$10.96	$23.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.76 / $8.91	Professional	26	$7.41	$7.76	$8.91
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $3.55 / $3.89	Professional	TC	$3.39	$3.55	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $81.28 / $102.33	Facility		$43.65	$81.28	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $20.89	Professional		$9.77	$12.30	$20.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $14.79	Professional	26	$6.61	$8.91	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $3.98 / $6.92	Professional	TC	$2.75	$3.98	$6.92