Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $16.22 / $38.02	Facility	26	$9.55	$16.22	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $204.17	Professional		$38.02	$58.88	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $37.15	Professional	26	$8.91	$12.88	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $95.50	Professional	TC	$27.54	$41.69	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $48.98	Professional		$36.31	$43.65	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $112.20	Professional		$37.15	$46.77	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.30 / $23.99	Professional	26	$9.77	$12.30	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $83.18	Professional	TC	$27.54	$33.88	$83.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $57.54 / $74.13	Professional		$16.60	$57.54	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.82 / $12.88 / $18.62	Facility	26	$2.82	$12.88	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $199.53	Professional		$42.66	$70.79	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $17.38 / $42.66	Professional	26	$9.33	$17.38	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $56.23 / $194.98	Professional	TC	$32.36	$56.23	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $109.65	Professional		$54.95	$72.44	$109.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.98 / $42.66	Professional	26	$11.48	$16.98	$42.66
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $60.26 / $87.10	Professional	TC	$45.71	$60.26	$87.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $123.03	Professional		$33.11	$69.18	$123.03
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $27.54	Professional	26	$9.33	$15.14	$27.54
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $53.70 / $97.72	Professional	TC	$26.30	$53.70	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $89.13	Professional		$50.12	$72.44	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $25.70	Professional	26	$13.49	$14.13	$25.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $138.04	Professional		$58.88	$70.79	$138.04
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $30.20	Professional	26	$14.13	$16.98	$30.20
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $53.70 / $107.15	Professional	TC	$45.71	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $104.71	Professional		$39.81	$51.29	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $24.55	Professional	26	$9.12	$12.02	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $81.28	Professional	TC	$30.20	$39.81	$81.28
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.49 / $38.90	Facility	26	$9.33	$13.49	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $131.83	Professional		$33.11	$69.18	$131.83
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $33.11	Professional	26	$9.33	$15.14	$33.11
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $53.70 / $104.71	Professional	TC	$26.30	$53.70	$104.71