Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $10.55 / $18.16	Professional	26	$8.25	$10.55	$18.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $25.80 / $48.11	Professional	TC	$19.11	$25.80	$48.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.46 / $23.89	Professional	26	$8.91	$11.46	$23.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $25.14 / $60.02	Professional	TC	$19.23	$25.14	$60.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $14.62 / $31.93	Professional	26	$7.87	$14.62	$31.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $38.36 / $98.85	Professional	TC	$21.13	$38.36	$98.85
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $13.96 / $22.22	Professional	26	$10.10	$13.96	$22.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.24 / $35.51 / $57.24	Professional	TC	$27.24	$35.51	$57.24
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $14.14 / $22.92	Professional	26	$5.75	$14.14	$22.92
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $31.39 / $56.26	Professional	TC	$21.34	$31.39	$56.26
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $14.44 / $31.91	Professional	26	$8.26	$14.44	$31.91
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $35.46 / $87.00	Professional	TC	$21.27	$35.46	$87.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $11.55 / $24.62	Professional	26	$8.64	$11.55	$24.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.46 / $63.76	Professional	TC	$22.39	$28.46	$63.76
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $16.04 / $28.79	Professional	26	$5.75	$16.04	$28.79
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $38.90 / $70.83	Professional	TC	$24.43	$38.90	$70.83