Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $75.86	Professional	26	$35.48	$44.67	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $389.05	Professional		$194.98	$234.42	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $87.10 / $144.54	Professional	26	$72.44	$87.10	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $147.91 / $245.47	Professional	TC	$123.03	$147.91	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $218.78	Professional		$123.03	$123.03	$218.78
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $67.61	Professional	26	$34.67	$39.81	$67.61
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $87.10 / $151.36	Professional	TC	$85.11	$87.10	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $263.03	Professional		$190.55	$223.87	$263.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $309.03	Professional		$57.54	$114.82	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $45.71	Professional	26	$42.66	$43.65	$45.71
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $72.44 / $79.43	Professional	TC	$70.79	$72.44	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $234.42	Professional		$107.15	$147.91	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $77.62	Professional	26	$36.31	$46.77	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $93.33 / $177.83	Professional	TC	$66.07	$93.33	$177.83