Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $14.54 / $30.72	Facility	26	$9.51	$14.54	$30.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $53.72 / $140.54	Professional		$36.44	$53.72	$140.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.77 / $26.52	Professional	26	$9.52	$11.77	$26.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.65 / $84.70	Professional	TC	$26.92	$39.65	$84.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $41.47	Professional		$36.29	$36.29	$41.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $48.45 / $123.68	Professional		$37.59	$48.45	$123.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.75 / $26.96	Professional	26	$9.75	$12.75	$26.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.31 / $35.70 / $90.19	Professional	TC	$27.31	$35.70	$90.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $58.15 / $74.81	Professional		$16.67	$58.15	$74.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $72.19 / $167.10	Professional		$41.67	$72.19	$167.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $15.99 / $35.35	Professional	26	$8.78	$15.99	$35.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.17 / $55.88 / $152.27	Professional	TC	$32.17	$55.88	$152.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $62.48 / $107.93	Professional		$49.06	$62.48	$107.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $14.73 / $23.67	Professional	26	$10.76	$14.73	$23.67
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.53 / $55.54 / $89.21	Professional	TC	$42.53	$55.54	$89.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $62.12 / $111.33	Professional		$32.82	$62.12	$111.33
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $15.07 / $24.42	Professional	26	$6.68	$15.07	$24.42
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $48.49 / $86.91	Professional	TC	$26.14	$48.49	$86.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $68.69 / $87.03	Professional		$50.06	$68.69	$87.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $14.11 / $14.27	Professional	26	$13.60	$14.11	$14.27
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $71.33 / $155.47	Professional		$44.81	$71.33	$155.47
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $15.97 / $33.86	Professional	26	$9.13	$15.97	$33.86
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.29 / $51.68 / $132.84	Professional	TC	$32.29	$51.68	$132.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $52.76 / $120.66	Professional		$41.30	$52.76	$120.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.63 / $27.58	Professional	26	$9.63	$12.63	$27.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $41.46 / $89.09	Professional	TC	$32.90	$41.46	$89.09
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $13.40 / $13.40 / $38.65	Facility	26	$13.40	$13.40	$38.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $77.94 / $138.05	Professional		$32.82	$77.94	$138.05
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $17.10 / $30.68	Professional	26	$6.68	$17.10	$30.68
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $60.84 / $107.77	Professional	TC	$26.14	$60.84	$107.77