Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $15.36 / $33.39	Facility	26	$10.02	$15.36	$33.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $45.98 / $119.81	Professional		$31.92	$45.98	$119.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $12.81 / $27.92	Professional	26	$10.01	$12.81	$27.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $31.62 / $65.02	Professional	TC	$21.90	$31.62	$65.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $36.20 / $36.57	Professional		$36.20	$36.20	$36.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $17.61 / $18.14	Professional	26	$9.78	$17.61	$18.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $42.62 / $110.23	Professional		$33.07	$42.62	$110.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $13.84 / $28.09	Professional	26	$10.58	$13.84	$28.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $28.78 / $74.39	Professional	TC	$22.01	$28.78	$74.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $48.12 / $66.27	Professional		$18.14	$48.12	$66.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $63.74 / $147.87	Professional		$36.81	$63.74	$147.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $17.32 / $38.36	Professional	26	$9.11	$17.32	$38.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $46.88 / $126.73	Professional	TC	$26.48	$46.88	$126.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $54.88 / $95.17	Professional		$43.26	$54.88	$95.17
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $16.02 / $25.78	Professional	26	$11.72	$16.02	$25.78
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.06 / $45.75 / $73.58	Professional	TC	$35.06	$45.75	$73.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $55.56 / $99.57	Professional		$29.08	$55.56	$99.57
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $16.39 / $26.59	Professional	26	$7.04	$16.39	$26.59
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $40.72 / $72.98	Professional	TC	$22.04	$40.72	$72.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $50.99	Professional		$50.99	$50.99	$50.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $47.20 / $63.88	Professional		$46.69	$47.20	$63.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $15.02 / $30.28	Professional	26	$14.81	$15.02	$30.28
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $63.35 / $140.02	Professional		$39.54	$63.35	$140.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $17.32 / $36.68	Professional	26	$9.75	$17.32	$36.68
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.97 / $43.01 / $111.44	Professional	TC	$26.97	$43.01	$111.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $47.39 / $99.57	Professional		$37.86	$47.39	$99.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $13.79 / $29.91	Professional	26	$10.24	$13.79	$29.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.95 / $34.69 / $77.06	Professional	TC	$26.95	$34.69	$77.06
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $14.59 / $14.59 / $41.11	Facility	26	$14.59	$14.59	$41.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $68.72 / $123.46	Professional		$29.08	$68.72	$123.46
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $18.61 / $33.40	Professional	26	$7.04	$18.61	$33.40
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $50.11 / $90.99	Professional	TC	$22.04	$50.11	$90.99