RESOLVEDIt's the exact same as any other query... Don't know why I thought it needed to be in the Pivot syntax.SELECT EmployerName,Insurance,coalesce(Single,0) as Single, Coalesce([Single + 1],0) as [Single + 1], Coalesce(Family,0) as Family, Coalesce(Composite,0) as Composite,Medical,Life,Dental,Vision,[Short Term Disability]FROM ( Select * from #GroupedInsurance Pivot( Sum(Rate) For Coverage in (Single, [Single + 1], Family, Composite)) as p) aPIVOT ( Count(InsuranceTypeDesc) FOR InsuranceTypeDesc IN (Medical,Life, Dental, Vision, [Short Term Disability]) ) AS p