Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $48.98	Professional		$20.89	$25.70	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $28.84	Professional	26	$18.20	$20.89	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $41.69	Professional		$23.44	$23.44	$41.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $45.71	Professional		$25.12	$25.70	$45.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.38 / $39.81	Professional	26	$20.89	$21.38	$39.81
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $4.27 / $7.24	Professional	TC	$4.17	$4.27	$7.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $70.79	Professional		$21.38	$33.88	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $38.02	Professional	26	$17.78	$22.91	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $6.31 / $41.69	Professional	TC	$3.39	$6.31	$41.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $52.48	Professional		$28.84	$34.67	$52.48
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $43.65	Professional	26	$23.99	$28.84	$43.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $5.89 / $8.71	Professional	TC	$5.25	$5.89	$8.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $69.18	Professional		$23.99	$40.74	$69.18
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.44 / $43.65	Professional	26	$19.95	$23.44	$43.65
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.92 / $37.15	Professional	TC	$3.98	$6.92	$37.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $25.70	Professional		$23.99	$25.70	$25.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	26	$21.38	$21.38	$21.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $56.23	Professional		$21.88	$26.92	$56.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $33.11	Professional	26	$18.20	$20.89	$33.11
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $28.18	Professional	TC	$3.02	$3.98	$28.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Professional		$41.69	$41.69	$46.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $75.86	Professional		$11.75	$23.44	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $20.89 / $26.92	Professional	26	$19.95	$20.89	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $4.17 / $43.65	Professional	TC	$3.98	$4.17	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $53.70	Professional		$19.05	$26.30	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.89 / $36.31	Professional	26	$14.79	$20.89	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $4.37 / $30.90	Professional	TC	$3.24	$4.37	$30.90