Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $102.33 / $102.33	Facility	26	$60.26	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $162.18	Professional		$44.67	$58.88	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $63.10	Professional	26	$15.85	$20.89	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $109.65	Professional	TC	$26.92	$34.67	$109.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $128.82	Professional		$81.28	$83.18	$128.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $26.30 / $43.65	Professional	26	$25.12	$26.30	$43.65
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $57.54 / $83.18	Professional	TC	$53.70	$57.54	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $40.74	Facility	26	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $93.33	Professional		$23.99	$42.66	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.98 / $37.15	Professional	26	$11.75	$16.98	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $26.30 / $58.88	Professional	TC	$12.59	$26.30	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $147.91	Professional		$61.66	$112.20	$147.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $33.88 / $44.67	Professional	26	$17.78	$33.88	$44.67
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $79.43 / $102.33	Professional	TC	$43.65	$79.43	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $131.83	Professional		$46.77	$87.10	$131.83
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $51.29	Professional	26	$25.12	$30.90	$51.29
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $56.23 / $91.20	Professional	TC	$21.88	$56.23	$91.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $30.20	Professional	26	$23.99	$28.84	$30.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $102.33 / $102.33	Facility	26	$60.26	$102.33	$102.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $204.17	Professional		$45.71	$66.07	$204.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.44 / $64.57	Professional	26	$16.98	$23.44	$64.57
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $134.90	Professional	TC	$28.84	$42.66	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $158.49	Professional		$85.11	$123.03	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $50.12 / $77.62	Professional		$6.03	$50.12	$77.62
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.12 / $26.92	Professional	26	$24.55	$25.12	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $46.77 / $51.29	Professional	TC	$27.54	$46.77	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $104.71	Professional		$30.90	$69.18	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $26.30 / $42.66	Professional	26	$14.45	$26.30	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $42.66 / $69.18	Professional	TC	$23.44	$42.66	$69.18