Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $63.10 / $112.20	Facility		$22.91	$63.10	$112.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $15.14 / $17.78	Facility	26	$3.72	$15.14	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $47.86	Professional		$10.00	$17.78	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.41 / $21.38	Professional	26	$3.02	$7.41	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $12.02 / $27.54	Professional	TC	$7.08	$12.02	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $6.31 / $8.13	Professional	26	$2.09	$6.31	$8.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $117.49	Facility		$60.26	$109.65	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $38.02	Professional		$16.22	$23.99	$38.02
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $5.89 / $10.00	Professional	26	$4.37	$5.89	$10.00
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $16.98 / $27.54	Professional	TC	$11.75	$16.98	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $35.48	Facility		$19.95	$19.95	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.05 / $4.90 / $6.92	Facility	26	$1.05	$4.90	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $26.30	Professional		$7.59	$13.18	$26.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $2.95 / $6.92	Professional	26	$2.04	$2.95	$6.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $10.47 / $20.89	Professional	TC	$5.50	$10.47	$20.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $29.51	Professional		$12.59	$22.39	$29.51
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.03 / $7.94	Professional	26	$3.24	$6.03	$7.94
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $16.60 / $21.38	Professional	TC	$9.33	$16.60	$21.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $38.90	Professional		$15.14	$21.88	$38.90
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $5.50 / $9.33	Professional	26	$4.27	$5.50	$9.33
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $30.20	Professional	TC	$10.96	$16.98	$30.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.88	Professional		$10.96	$17.38	$21.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.47 / $4.68 / $7.24	Professional	26	$4.47	$4.68	$7.24
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $12.02 / $12.02	Professional	TC	$12.02	$12.02	$12.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $63.10 / $112.20	Facility		$22.91	$63.10	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $10.47 / $17.78	Facility	26	$6.31	$10.47	$17.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $44.67	Professional		$10.96	$19.05	$44.67
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.03 / $17.78	Professional	26	$3.02	$6.03	$17.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $14.45 / $30.20	Professional	TC	$7.94	$14.45	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $31.62	Professional		$22.91	$28.84	$31.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.60 / $28.18	Professional		$5.01	$16.60	$28.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $4.27 / $7.94	Professional	26	$4.27	$4.27	$7.94
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $10.96 / $15.85	Professional	TC	$10.96	$10.96	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $26.30	Professional		$8.51	$15.14	$26.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $4.57 / $7.59	Professional	26	$2.51	$4.57	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $10.96 / $20.42	Professional	TC	$6.31	$10.96	$20.42