Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $14.13 / $32.36	Facility	26	$7.94	$14.13	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $85.11	Professional		$23.99	$33.11	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $26.92	Professional	26	$7.41	$10.96	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $52.48	Professional	TC	$15.85	$21.88	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $69.18	Professional		$23.44	$29.51	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $19.95	Professional	26	$8.32	$10.47	$19.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.62 / $45.71	Professional	TC	$15.14	$18.62	$45.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.90 / $44.67	Professional		$14.13	$30.90	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.34 / $10.96 / $15.85	Facility	26	$2.34	$10.96	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $120.23	Professional		$25.70	$43.65	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.13 / $35.48	Professional	26	$7.76	$14.13	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.90 / $104.71	Professional	TC	$17.78	$30.90	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $64.57	Professional		$33.11	$42.66	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $26.30	Professional	26	$9.77	$14.45	$26.30
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $31.62 / $45.71	Professional	TC	$23.99	$31.62	$45.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $75.86	Professional		$20.42	$41.69	$75.86
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $22.39	Professional	26	$7.76	$12.88	$22.39
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $52.48	Professional	TC	$15.14	$28.84	$52.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $11.75 / $17.38	Professional	26	$11.48	$11.75	$17.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $83.18	Professional		$36.31	$42.66	$83.18
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.13 / $25.12	Professional	26	$11.75	$14.13	$25.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $58.88	Professional	TC	$23.99	$28.18	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $63.10	Professional		$24.55	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $19.95	Professional	26	$7.59	$10.00	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $43.65	Professional	TC	$16.98	$21.88	$43.65
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.96 / $30.20	Facility	26	$7.76	$10.96	$30.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $81.28	Professional		$20.42	$41.69	$81.28
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $27.54	Professional	26	$7.76	$12.88	$27.54
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $60.26	Professional	TC	$15.14	$28.84	$60.26