Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $81.28	Facility		$17.38	$28.18	$81.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $41.69 / $48.98	Facility	26	$10.47	$41.69	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.02 / $32.36 / $91.20	Facility	TC	$12.02	$32.36	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $48.98	Professional		$14.13	$19.50	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $25.70 / $77.62	Professional	26	$9.55	$25.70	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $16.98	Professional	TC	$5.01	$7.08	$16.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $16.60 / $21.38	Professional	26	$5.50	$16.60	$21.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $38.90	Facility		$19.95	$36.31	$38.90
Capital Blue Cross Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $36.31 / $38.90	Facility	TC	$19.95	$36.31	$38.90
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $39.81	Professional		$19.95	$26.30	$39.81
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $29.51	Professional	26	$12.02	$15.85	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $8.32 / $15.85	Professional	TC	$6.03	$8.32	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $34.67	Facility		$13.49	$13.49	$34.67
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 Facility Modifier TC Low / Median / High Price $2.00 / $9.33 / $13.18	Facility	TC	$2.00	$9.33	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $28.18	Professional		$8.71	$12.88	$28.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.32 / $18.20	Professional	26	$5.62	$8.32	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.37 / $10.47	Professional	TC	$2.88	$4.37	$10.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $36.31	Professional		$14.79	$27.54	$36.31
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.22 / $20.89	Professional	26	$8.51	$16.22	$20.89
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $11.48 / $14.79	Professional	TC	$6.46	$11.48	$14.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $40.74	Professional		$16.98	$24.55	$40.74
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.79 / $26.30	Professional	26	$12.02	$14.79	$26.30
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $9.12 / $13.80	Professional	TC	$3.98	$9.12	$13.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $20.89	Professional		$14.13	$20.89	$20.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.59 / $19.95	Professional	26	$12.02	$12.59	$19.95
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $5.75 / $6.03	Professional	TC	$5.75	$5.75	$6.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $81.28	Facility		$17.38	$28.18	$81.28
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $28.18 / $48.98	Facility	26	$16.60	$28.18	$48.98
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $11.48 / $32.36 / $91.20	Facility	TC	$11.48	$32.36	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $52.48	Professional		$15.14	$21.88	$52.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $20.42 / $63.10	Professional	26	$8.91	$20.42	$63.10
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $8.51 / $21.38	Professional	TC	$5.89	$8.51	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $38.90	Professional		$20.89	$34.67	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.38 / $42.66	Professional		$9.33	$21.38	$42.66
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.02 / $19.50	Professional	26	$12.02	$12.02	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $7.76 / $8.13	Professional	TC	$5.50	$7.76	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.42 / $33.11	Professional		$11.75	$20.42	$33.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.59 / $20.42	Professional	26	$7.08	$12.59	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $8.51 / $13.80	Professional	TC	$4.27	$8.51	$13.80