Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.11 / $12.23 / $20.00	Facility	26	$7.11	$12.23	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $36.63 / $82.23	Professional		$25.45	$36.63	$82.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.98 / $19.76	Professional	26	$6.90	$8.98	$19.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $26.82 / $56.30	Professional	TC	$18.55	$26.82	$56.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $12.39 / $12.39	Professional	26	$9.91	$12.39	$12.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $33.88 / $88.21	Professional		$26.29	$33.88	$88.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.47 / $19.60	Professional	26	$7.24	$9.47	$19.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $24.41 / $61.23	Professional	TC	$18.67	$24.41	$61.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $40.96 / $53.68	Professional		$12.72	$40.96	$53.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $49.49 / $120.70	Professional		$29.00	$49.49	$120.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $12.14 / $26.56	Professional	26	$6.40	$12.14	$26.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $37.04 / $101.24	Professional	TC	$21.26	$37.04	$101.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $45.65 / $78.67	Professional		$34.18	$45.65	$78.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $11.35 / $18.05	Professional	26	$8.21	$11.35	$18.05
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $39.96 / $64.34	Professional	TC	$30.64	$39.96	$64.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $45.67 / $81.84	Professional		$22.45	$45.67	$81.84
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.00 / $11.49 / $18.63	Professional	26	$5.00	$11.49	$18.63
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $35.28 / $63.23	Professional	TC	$17.45	$35.28	$63.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $52.40	Professional		$37.20	$37.20	$52.40
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $10.24 / $10.24	Professional	26	$10.24	$10.24	$10.24
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $49.88 / $106.32	Professional		$29.60	$49.88	$106.32
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $11.90 / $26.04	Professional	26	$6.74	$11.90	$26.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.74 / $35.97 / $94.40	Professional	TC	$21.74	$35.97	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $38.72 / $78.09	Professional		$28.56	$38.72	$78.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.14 / $20.00	Professional	26	$7.04	$9.14	$20.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $29.00 / $64.58	Professional	TC	$22.15	$29.00	$64.58
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.22 / $10.22 / $29.22	Facility	26	$10.22	$10.22	$29.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $56.81 / $98.65	Professional		$22.45	$56.81	$98.65
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.00 / $13.04 / $23.40	Professional	26	$5.00	$13.04	$23.40
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $43.77 / $76.20	Professional	TC	$17.45	$43.77	$76.20