Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $111.15 / $188.74	Facility	26	$86.18	$111.15	$188.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $425.00 / $801.77	Professional		$276.56	$425.00	$801.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $112.50 / $170.16	Professional	26	$70.56	$112.50	$170.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $299.00 / $567.55	Professional	TC	$205.98	$299.00	$567.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $207.90 / $269.02	Professional		$181.92	$207.90	$269.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.52 / $315.72 / $924.00	Professional		$241.52	$315.72	$924.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $77.27 / $166.25	Professional	26	$59.11	$77.27	$166.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.42 / $238.46 / $706.09	Professional	TC	$182.42	$238.46	$706.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $314.91 / $416.47	Professional		$101.55	$314.91	$416.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.61 / $554.79 / $1,362.33	Professional		$240.61	$554.79	$1,362.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.16 / $99.51 / $215.23	Professional	26	$53.16	$99.51	$215.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.90 / $452.23 / $1,031.97	Professional	TC	$186.90	$452.23	$1,031.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $372.34 / $641.58	Professional		$274.68	$372.34	$641.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.48 / $89.85 / $144.08	Professional	26	$65.48	$89.85	$144.08
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $200.67 / $262.31 / $420.35	Professional	TC	$200.67	$262.31	$420.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $392.87 / $562.29	Professional		$246.39	$392.87	$562.29
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $82.83 / $146.03	Professional	26	$32.79	$82.83	$146.03
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.90 / $290.83 / $416.27	Professional	TC	$180.90	$290.83	$416.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $637.91 / $664.61	Professional		$351.80	$637.91	$664.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $90.05 / $148.59	Professional	26	$88.17	$90.05	$148.59
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $531.90 / $1,134.60	Professional		$273.08	$531.90	$1,134.60
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $106.50 / $211.37	Professional	26	$53.71	$106.50	$211.37
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $186.90 / $430.39 / $1,023.98	Professional	TC	$186.90	$430.39	$1,023.98
United Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $359.74 / $875.12	Professional		$251.92	$359.74	$875.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.13 / $75.42 / $173.23	Professional	26	$59.13	$75.42	$173.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.22 / $275.45 / $687.68	Professional	TC	$190.22	$275.45	$687.68
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $81.45 / $81.45 / $233.40	Facility	26	$81.45	$81.45	$233.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $403.10 / $747.55	Professional		$265.58	$403.10	$747.55
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $105.73 / $191.03	Professional	26	$32.79	$105.73	$191.03
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $201.52 / $301.69 / $556.52	Professional	TC	$201.52	$301.69	$556.52