Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.84 / $11.74 / $18.80	Facility	26	$6.84	$11.74	$18.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $32.83 / $71.00	Professional		$22.97	$32.83	$71.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.63 / $16.04	Professional	26	$6.64	$8.63	$16.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.49 / $44.17	Professional	TC	$16.32	$23.49	$44.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $24.35 / $25.46	Professional		$22.27	$24.35	$25.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $11.91 / $11.91	Professional	26	$11.91	$11.91	$11.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $31.70 / $77.16	Professional		$24.39	$31.70	$77.16
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 $18.30 / $23.22 / $52.46	Professional	TC	$18.30	$23.22	$52.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $32.84 / $45.06	Professional		$12.22	$32.84	$45.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $43.14 / $104.82	Professional		$24.62	$43.14	$104.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $11.71 / $25.59	Professional	26	$6.16	$11.71	$25.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $33.72 / $86.85	Professional	TC	$18.59	$33.72	$86.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $39.11 / $65.81	Professional		$30.72	$39.11	$65.81
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 $24.52 / $31.94 / $51.57	Professional	TC	$24.52	$31.94	$51.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $37.88 / $67.88	Professional		$21.07	$37.88	$67.88
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.82 / $11.04 / $17.89	Professional	26	$4.82	$11.04	$17.89
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $27.89 / $49.99	Professional	TC	$16.25	$27.89	$49.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.72	Professional		$32.36	$32.36	$32.72
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $9.84 / $9.94	Professional	26	$9.84	$9.84	$9.94
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $43.14 / $99.44	Professional		$27.00	$43.14	$99.44
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 $18.88 / $29.72 / $76.13	Professional	TC	$18.88	$29.72	$76.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $32.97 / $72.51	Professional		$26.38	$32.97	$72.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $9.03 / $19.62	Professional	26	$7.06	$9.03	$19.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $24.21 / $49.70	Professional	TC	$18.89	$24.21	$49.70
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.82 / $9.82 / $27.97	Facility	26	$9.82	$9.82	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $47.52 / $85.41	Professional		$21.07	$47.52	$85.41
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $4.82 / $12.52 / $22.48	Professional	26	$4.82	$12.52	$22.48
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $35.00 / $62.94	Professional	TC	$16.25	$35.00	$62.94