Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $12.59 / $27.54	Facility	26	$8.51	$12.59	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $100.00	Professional		$23.99	$34.67	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.00 / $25.12	Professional	26	$6.61	$10.00	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $58.88	Professional	TC	$16.98	$23.99	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $31.62	Professional		$22.39	$25.70	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $4.68 / $4.68	Professional	26	$4.68	$4.68	$4.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $69.18	Professional		$23.99	$30.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.76 / $16.98	Professional	26	$6.03	$7.76	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $48.98	Professional	TC	$18.20	$22.91	$48.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $44.67	Professional		$12.30	$33.11	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $147.91	Professional		$25.70	$42.66	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $12.30 / $30.20	Professional	26	$6.61	$12.30	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $112.20	Professional	TC	$19.05	$32.36	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $66.07	Professional		$33.88	$43.65	$66.07
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $26.92	Professional	26	$8.51	$12.30	$26.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $50.12	Professional	TC	$25.70	$34.67	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $75.86	Professional		$20.89	$41.69	$75.86
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $19.95	Professional	26	$6.92	$10.96	$19.95
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.90 / $56.23	Professional	TC	$16.22	$30.90	$56.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $57.54	Professional		$32.36	$32.36	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.00 / $10.72	Professional	26	$9.77	$10.00	$10.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $85.11	Professional		$35.48	$42.66	$85.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $22.39	Professional	26	$10.00	$12.30	$22.39
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.20 / $61.66	Professional	TC	$25.70	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $63.10	Professional		$24.55	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $17.78	Professional	26	$6.61	$8.71	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $46.77	Professional	TC	$17.78	$22.91	$46.77
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $9.77 / $28.18	Facility	26	$6.92	$9.77	$28.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $81.28	Professional		$20.89	$41.69	$81.28
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $24.55	Professional	26	$6.92	$10.96	$24.55
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.90 / $63.10	Professional	TC	$16.22	$30.90	$63.10