Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.49 / $14.42 / $31.60	Facility	26	$9.49	$14.42	$31.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $43.59 / $110.48	Professional		$29.16	$43.59	$110.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $12.12 / $26.93	Professional	26	$9.49	$12.12	$26.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $29.08 / $65.05	Professional	TC	$19.71	$29.08	$65.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Professional		$34.24	$34.24	$34.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $11.41 / $11.41	Professional	26	$6.66	$11.41	$11.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $38.97 / $101.67	Professional		$30.24	$38.97	$101.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $13.11 / $27.08	Professional	26	$10.02	$13.11	$27.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $25.87 / $68.16	Professional	TC	$19.79	$25.87	$68.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $43.82 / $61.00	Professional		$17.17	$43.82	$61.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $58.68 / $136.46	Professional		$33.29	$58.68	$136.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $16.44 / $36.31	Professional	26	$8.80	$16.44	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $42.24 / $115.52	Professional	TC	$23.85	$42.24	$115.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $51.36 / $89.06	Professional		$40.47	$51.36	$89.06
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $15.60 / $25.06	Professional	26	$11.39	$15.60	$25.06
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.34 / $42.18 / $67.89	Professional	TC	$32.34	$42.18	$67.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $51.26 / $91.87	Professional		$26.77	$51.26	$91.87
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $15.95 / $25.16	Professional	26	$6.67	$15.95	$25.16
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $37.22 / $66.70	Professional	TC	$20.11	$37.22	$66.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $58.06 / $103.96	Professional		$43.08	$58.06	$103.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $17.23 / $25.53	Professional	26	$14.23	$17.23	$25.53
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $58.09 / $122.62	Professional		$34.38	$58.09	$122.62
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $16.38 / $34.75	Professional	26	$9.31	$16.38	$34.75
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.64 / $39.11 / $101.70	Professional	TC	$24.64	$39.11	$101.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $43.14 / $91.87	Professional		$33.65	$43.14	$91.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $12.99 / $31.12	Professional	26	$9.91	$12.99	$31.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $31.26 / $62.59	Professional	TC	$24.15	$31.26	$62.59
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $39.90	Facility	26	$13.80	$13.80	$39.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $64.31 / $113.91	Professional		$26.77	$64.31	$113.91
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $18.10 / $31.60	Professional	26	$6.67	$18.10	$31.60
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $46.21 / $82.72	Professional	TC	$20.11	$46.21	$82.72