Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.94 / $29.77	Professional		$13.49	$16.94	$29.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.26 / $9.18 / $16.73	Professional	TC	$6.26	$9.18	$16.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.44 / $46.32	Professional		$15.33	$19.44	$46.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $9.55 / $26.07	Professional	TC	$7.52	$9.55	$26.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $12.22 / $23.10	Professional		$10.88	$12.22	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $27.84 / $58.50	Professional		$14.69	$27.84	$58.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.19 / $15.79 / $30.86	Professional	TC	$7.19	$15.79	$30.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $24.26 / $36.10	Professional		$17.80	$24.26	$36.10
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.22 / $11.92 / $19.42	Professional	TC	$9.22	$11.92	$19.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $19.82 / $35.15	Professional		$13.55	$19.82	$35.15
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.65 / $11.35 / $17.25	Professional	TC	$6.65	$11.35	$17.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $25.99 / $58.50	Professional		$15.93	$25.99	$58.50
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $7.31 / $12.14 / $29.35	Professional	TC	$7.31	$12.14	$29.35
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $20.21 / $40.50	Professional		$14.51	$20.21	$40.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.02 / $9.36 / $19.11	Professional	TC	$7.02	$9.36	$19.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $26.07 / $43.33	Professional		$16.73	$26.07	$43.33
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $8.22 / $13.05 / $20.85	Professional	TC	$8.22	$13.05	$20.85