Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $16.98 / $44.67	Facility	26	$10.96	$16.98	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $147.91	Professional		$34.67	$52.48	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $41.69	Professional	26	$10.47	$16.98	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $77.62	Professional	TC	$22.91	$34.67	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $102.33	Professional		$33.11	$42.66	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.45 / $27.54	Professional	26	$11.48	$14.45	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $67.61	Professional	TC	$21.88	$27.54	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $47.86 / $67.61	Professional		$19.50	$47.86	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $15.14 / $21.88	Facility	26	$3.24	$15.14	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $218.78	Professional		$38.02	$63.10	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.95 / $47.86	Professional	26	$10.47	$19.95	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $162.18	Professional	TC	$26.92	$45.71	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $95.50	Professional		$47.86	$63.10	$95.50
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $38.02	Professional	26	$13.18	$19.50	$38.02
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $47.86 / $69.18	Professional	TC	$36.31	$47.86	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $112.20	Professional		$30.20	$61.66	$112.20
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $32.36	Professional	26	$10.96	$17.78	$32.36
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $44.67 / $81.28	Professional	TC	$22.39	$44.67	$81.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $66.07	Professional		$47.86	$47.86	$66.07
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Professional	26	$15.85	$15.85	$15.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $125.89	Professional		$52.48	$63.10	$125.89
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $35.48	Professional	26	$15.85	$19.05	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $89.13	Professional	TC	$37.15	$43.65	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $93.33	Professional		$36.31	$46.77	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $28.18	Professional	26	$10.47	$13.80	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $67.61	Professional	TC	$25.12	$33.11	$67.61
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $15.85 / $44.67	Facility	26	$10.96	$15.85	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $120.23	Professional		$30.20	$61.66	$120.23
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $38.90	Professional	26	$10.96	$17.78	$38.90
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $44.67 / $89.13	Professional	TC	$22.39	$44.67	$89.13