Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.64 / $10.34 / $22.76	Facility	26	$6.64	$10.34	$22.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $36.65 / $97.23	Professional		$25.20	$36.65	$97.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $8.63 / $21.62	Professional	26	$6.63	$8.63	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $26.82 / $58.59	Professional	TC	$18.55	$26.82	$58.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $25.89 / $29.59	Professional		$25.89	$25.89	$29.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.67 / $4.67 / $7.23	Professional	26	$4.67	$4.67	$7.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $37.13 / $88.09	Professional		$28.50	$37.13	$88.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $7.76 / $18.88	Professional	26	$5.93	$7.76	$18.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $28.02 / $61.72	Professional	TC	$22.56	$28.02	$61.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $40.96 / $53.18	Professional		$12.22	$40.96	$53.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $47.36 / $123.08	Professional		$28.78	$47.36	$123.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $11.49 / $25.38	Professional	26	$6.16	$11.49	$25.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $37.34 / $108.04	Professional	TC	$21.27	$37.34	$108.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $44.50 / $76.63	Professional		$34.22	$44.50	$76.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.94 / $17.34	Professional	26	$7.88	$10.94	$17.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $39.06 / $62.93	Professional	TC	$29.95	$39.06	$62.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $44.10 / $79.03	Professional		$22.46	$44.10	$79.03
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $10.90 / $17.19	Professional	26	$4.63	$10.90	$17.19
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $34.50 / $61.84	Professional	TC	$17.84	$34.50	$61.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $48.77 / $51.92	Professional		$37.00	$48.77	$51.92
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $9.96 / $20.38	Professional	26	$9.84	$9.96	$20.38
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $48.97 / $117.22	Professional		$30.28	$48.97	$117.22
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $11.46 / $25.13	Professional	26	$6.50	$11.46	$25.13
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $35.88 / $94.40	Professional	TC	$22.41	$35.88	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $36.81 / $85.13	Professional		$28.30	$36.81	$85.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.07 / $19.32	Professional	26	$7.02	$9.07	$19.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $28.51 / $58.89	Professional	TC	$22.30	$28.51	$58.89
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.44 / $9.44 / $27.97	Facility	26	$9.44	$9.44	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $55.32 / $95.24	Professional		$22.46	$55.32	$95.24
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $12.52 / $22.48	Professional	26	$4.63	$12.52	$22.48
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $42.80 / $74.64	Professional	TC	$17.84	$42.80	$74.64