Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $24.55 / $51.29	Facility	26	$12.02	$24.55	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $194.98	Professional		$34.67	$58.88	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $51.29	Professional	26	$10.96	$20.42	$51.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $144.54 / $144.54	Professional	52	$46.77	$144.54	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $79.43	Professional	TC	$22.39	$34.67	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $67.61	Professional		$30.90	$36.31	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.05 / $19.95	Professional	26	$12.59	$19.05	$19.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $75.86	Professional		$43.65	$45.71	$75.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.49 / $26.92	Professional	26	$13.18	$13.49	$26.92
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $32.36 / $48.98	Professional	TC	$30.90	$32.36	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $27.54	Professional	26	$9.55	$16.22	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $58.88	Professional	TC	$20.89	$33.11	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $79.43	Professional		$40.74	$60.26	$79.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.38 / $21.38	Professional	26	$13.49	$17.38	$21.38
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $57.54	Professional	TC	$36.31	$45.71	$57.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $95.50	Professional		$31.62	$51.29	$95.50
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $28.18	Professional	26	$10.96	$15.85	$28.18
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $67.61	Professional	TC	$20.89	$34.67	$67.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Professional		$50.12	$50.12	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.14 / $23.44	Professional	26	$13.80	$15.14	$23.44
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $7.94 / $7.94 / $7.94	Professional	52	$7.94	$7.94	$7.94
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $57.54	Professional	TC	$46.77	$46.77	$57.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $23.44 / $51.29	Facility	26	$12.30	$23.44	$51.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $125.89	Professional		$37.15	$56.23	$125.89
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $41.69	Professional	26	$10.96	$18.62	$41.69
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $46.77 / $144.54	Professional	52	$46.77	$46.77	$144.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.31 / $75.86	Professional	TC	$23.99	$36.31	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $89.13	Professional		$28.18	$60.26	$89.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $14.13	Facility	26	$12.88	$12.88	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $42.66 / $91.20	Professional		$12.02	$42.66	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.88 / $14.13	Professional	26	$12.59	$12.88	$14.13
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $30.20 / $33.11	Professional	TC	$29.51	$30.20	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $74.13	Professional		$33.88	$44.67	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $24.55	Professional	26	$10.72	$14.13	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $51.29	Professional	TC	$21.38	$30.90	$51.29