Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $13.98 / $23.55	Facility	26	$7.98	$13.98	$23.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.26 / $39.03	Professional		$15.45	$19.26	$39.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $10.02 / $18.66	Professional	26	$7.98	$10.02	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.93 / $10.11 / $16.97	Professional	TC	$6.93	$10.11	$16.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $7.40 / $7.40	Professional	26	$7.40	$7.40	$7.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $21.49 / $50.12	Professional		$16.43	$21.49	$50.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.31 / $23.80	Professional	26	$8.91	$11.31	$23.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $9.72 / $25.73	Professional	TC	$7.52	$9.72	$25.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.67 / $26.03	Professional		$11.36	$14.67	$26.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $30.63 / $62.36	Professional		$15.41	$30.63	$62.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $14.06 / $29.97	Professional	26	$7.64	$14.06	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.92 / $16.32 / $34.47	Professional	TC	$6.92	$16.32	$34.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $26.03 / $39.72	Professional		$19.10	$26.03	$39.72
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $13.09 / $20.83	Professional	26	$9.47	$13.09	$20.83
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 $14.53 / $21.62 / $38.74	Professional		$14.53	$21.62	$38.74
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $13.18 / $20.79	Professional	26	$5.76	$13.18	$20.79
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.49 / $10.02 / $17.95	Professional	TC	$7.49	$10.02	$17.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $12.31 / $12.45	Professional	26	$12.31	$12.31	$12.45
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $27.97 / $62.51	Professional		$16.82	$27.97	$62.51
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.73 / $29.97	Professional	26	$8.02	$13.73	$29.97
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $7.34 / $12.62 / $30.77	Professional	TC	$7.34	$12.62	$30.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $22.38 / $44.42	Professional		$15.59	$22.38	$44.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.83 / $28.65	Professional	26	$8.11	$10.83	$28.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.30 / $9.86 / $21.68	Professional	TC	$7.30	$9.86	$21.68
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $11.41 / $11.41 / $32.72	Facility	26	$11.41	$11.41	$32.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $28.10 / $47.84	Professional		$14.53	$28.10	$47.84
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $15.04 / $26.12	Professional	26	$5.76	$15.04	$26.12
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $8.55 / $13.05 / $21.73	Professional	TC	$8.55	$13.05	$21.73