Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $15.85 / $33.11	Facility	26	$10.00	$15.85	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $74.13	Professional		$15.14	$21.38	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $37.15	Professional	26	$7.94	$12.88	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $10.00 / $23.44	Professional	TC	$6.03	$10.00	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $44.67	Professional		$16.60	$20.42	$44.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $20.89	Professional	26	$8.91	$10.96	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $9.33 / $23.44	Professional	TC	$7.59	$9.33	$23.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $26.30	Professional		$11.48	$14.79	$26.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $11.48 / $16.22	Facility	26	$2.45	$11.48	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.90 / $83.18	Professional		$16.22	$30.90	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.79 / $36.31	Professional	26	$8.13	$14.79	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $17.38 / $45.71	Professional	TC	$7.41	$17.38	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $38.90	Professional		$19.95	$26.30	$38.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.79 / $20.42	Professional	26	$10.23	$14.79	$20.42
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $13.49 / $19.50	Professional	TC	$10.23	$13.49	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.55 / $43.65	Professional		$14.45	$24.55	$43.65
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $23.44	Professional	26	$7.94	$13.18	$23.44
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $11.48 / $19.95	Professional	TC	$7.94	$11.48	$19.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.59 / $12.59	Professional	26	$12.30	$12.59	$12.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $47.86	Professional		$21.88	$26.30	$47.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.45 / $25.70	Professional	26	$12.02	$14.45	$25.70
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $11.48 / $22.39	Professional	TC	$9.77	$11.48	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $40.74	Professional		$15.14	$20.89	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $20.89	Professional	26	$7.94	$10.47	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $9.77 / $21.38	Professional	TC	$7.08	$9.77	$21.38
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.48 / $32.36	Facility	26	$7.94	$11.48	$32.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $48.98	Professional		$14.79	$24.55	$48.98
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $28.18	Professional	26	$7.94	$13.18	$28.18
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $11.48 / $22.91	Professional	TC	$7.41	$11.48	$22.91