Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.51 / $17.10 / $36.08	Facility	26	$10.51	$17.10	$36.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $47.62 / $123.43	Professional		$32.42	$47.62	$123.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $13.86 / $29.81	Professional	26	$10.51	$13.86	$29.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $31.62 / $64.50	Professional	TC	$21.90	$31.62	$64.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $37.34 / $37.34	Professional		$37.34	$37.34	$37.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $12.68 / $19.02	Professional	26	$12.68	$12.68	$19.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $43.72 / $113.37	Professional		$33.92	$43.72	$113.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $14.94 / $30.22	Professional	26	$11.42	$14.94	$30.22
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 $19.63 / $48.12 / $67.75	Professional		$19.63	$48.12	$67.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $63.77 / $156.84	Professional		$36.47	$63.77	$156.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $18.69 / $40.78	Professional	26	$9.86	$18.69	$40.78
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 $44.22 / $56.19 / $97.28	Professional		$44.22	$56.19	$97.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $17.29 / $27.87	Professional	26	$12.67	$17.29	$27.87
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 $29.98 / $56.37 / $101.04	Professional		$29.98	$56.37	$101.04
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $17.73 / $28.75	Professional	26	$7.60	$17.73	$28.75
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $40.33 / $72.28	Professional	TC	$22.38	$40.33	$72.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $61.91 / $66.23	Professional		$47.49	$61.91	$66.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $15.99 / $23.28	Professional	26	$15.82	$15.99	$23.28
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $65.00 / $147.49	Professional		$39.90	$65.00	$147.49
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $18.22 / $39.32	Professional	26	$10.36	$18.22	$39.32
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.97 / $43.01 / $110.60	Professional	TC	$26.97	$43.01	$110.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $49.52 / $101.89	Professional		$38.69	$49.52	$101.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $14.46 / $31.40	Professional	26	$11.30	$14.46	$31.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.53 / $34.43 / $69.61	Professional	TC	$27.53	$34.43	$69.61
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $15.78 / $15.78 / $44.67	Facility	26	$15.78	$15.78	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $70.23 / $125.28	Professional		$29.98	$70.23	$125.28
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $20.13 / $36.11	Professional	26	$7.60	$20.13	$36.11
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $50.11 / $90.99	Professional	TC	$22.38	$50.11	$90.99