Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.22 / $16.98	Facility	26	$7.94	$11.22	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $147.91	Professional		$25.70	$45.71	$147.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $46.77 / $64.57	Professional	25	$10.96	$46.77	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.49 / $33.88	Professional	26	$7.59	$13.49	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.18 / $58.88	Professional	TC	$16.98	$28.18	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $38.02	Professional		$21.38	$26.92	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.32 / $12.88	Professional	26	$7.24	$8.32	$12.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $69.18	Professional		$27.54	$27.54	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.32 / $15.49	Professional	26	$8.13	$8.32	$15.49
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $19.05 / $46.77	Professional	TC	$18.62	$19.05	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $66.07	Professional		$27.54	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $17.78	Professional	26	$7.76	$10.00	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $48.98	Professional	TC	$19.50	$28.84	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $60.26	Professional		$31.62	$41.69	$60.26
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $16.60	Professional	26	$8.51	$11.48	$16.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $43.65	Professional	TC	$22.91	$30.20	$43.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $54.95	Professional		$27.54	$35.48	$54.95
Geisinger Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $14.45	Professional	26	$8.13	$9.55	$14.45
Geisinger Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.12 / $41.69	Professional	TC	$19.50	$25.12	$41.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $40.74	Professional		$30.20	$33.88	$40.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.00 / $18.62	Professional	26	$8.91	$10.00	$18.62
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $53.70	Professional		$30.90	$33.11	$53.70
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.48 / $16.98	Facility	26	$7.94	$11.48	$16.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $100.00	Professional		$26.92	$43.65	$100.00
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $46.77 / $64.57	Professional	25	$10.96	$46.77	$64.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $25.12	Professional	26	$7.76	$11.22	$25.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $58.88	Professional	TC	$18.20	$28.84	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $75.86	Professional		$43.65	$54.95	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $16.22 / $16.22	Facility	26	$7.94	$16.22	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $54.95	Professional		$10.96	$19.95	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.13 / $16.22	Professional	26	$7.94	$8.13	$16.22
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $18.20 / $26.92	Professional	TC	$17.38	$18.20	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $61.66	Professional		$27.54	$36.31	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $15.14	Professional	26	$6.92	$8.91	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $46.77	Professional	TC	$19.95	$27.54	$46.77