Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $61.66 / $91.20	Facility	26	$22.91	$61.66	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $194.98	Professional		$33.11	$70.79	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $95.50	Professional	26	$21.88	$38.02	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $25.12 / $93.33	Professional	TC	$12.02	$25.12	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $34.67 / $45.71	Professional	26	$17.78	$34.67	$45.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $107.15	Professional		$39.81	$41.69	$107.15
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $25.12 / $43.65	Professional	26	$23.99	$25.12	$43.65
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.98 / $67.61	Professional	TC	$16.22	$16.98	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $75.86 / $131.83	Professional		$35.48	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.90 / $47.86	Professional	26	$20.42	$30.90	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $45.71 / $87.10	Professional	TC	$14.13	$45.71	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $69.18	Professional		$52.48	$54.95	$69.18
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $31.62 / $38.90	Professional	26	$30.90	$31.62	$38.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $23.44 / $29.51	Professional	TC	$21.88	$23.44	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $125.89	Professional		$48.98	$66.07	$125.89
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $52.48	Professional	26	$21.88	$32.36	$52.48
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $36.31 / $81.28	Professional	TC	$19.50	$36.31	$81.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $95.50	Professional		$89.13	$91.20	$95.50
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $28.84 / $39.81	Professional	26	$25.70	$28.84	$39.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $45.71 / $91.20	Facility	26	$22.91	$45.71	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $162.18	Professional		$34.67	$70.79	$162.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $35.48 / $77.62	Professional	26	$21.88	$35.48	$77.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $30.20 / $85.11	Professional	TC	$12.88	$30.20	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $162.18	Professional		$72.44	$100.00	$162.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $28.18 / $28.18	Facility	26	$23.44	$28.18	$28.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $50.12 / $263.03	Professional		$16.98	$50.12	$263.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.99 / $28.18	Professional	26	$23.44	$23.99	$28.18
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $13.80 / $56.23	Professional	TC	$13.49	$13.80	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $104.71	Professional		$41.69	$61.66	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $27.54 / $44.67	Professional	26	$21.88	$27.54	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $69.18	Professional	TC	$19.05	$30.20	$69.18