Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.37 / $9.84 / $23.61	Facility	26	$6.37	$9.84	$23.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $31.79 / $83.36	Professional		$21.85	$31.79	$83.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $8.98 / $23.28	Professional	26	$6.37	$8.98	$23.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $21.53 / $43.10	Professional	TC	$15.48	$21.53	$43.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $23.60 / $24.68	Professional		$21.60	$23.60	$24.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $6.74 / $12.39	Professional	26	$6.35	$6.74	$12.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $23.81 / $73.45	Professional		$18.47	$23.81	$73.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.76 / $6.24 / $19.50	Professional	26	$4.76	$6.24	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.44 / $17.57 / $49.25	Professional	TC	$13.44	$17.57	$49.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $31.41 / $44.13	Professional		$12.72	$31.41	$44.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $42.16 / $113.25	Professional		$23.66	$42.16	$113.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $11.63 / $26.04	Professional	26	$6.25	$11.63	$26.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.91 / $30.19 / $83.07	Professional	TC	$16.91	$30.19	$83.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $36.94 / $63.82	Professional		$28.66	$36.94	$63.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $11.35 / $18.05	Professional	26	$8.21	$11.35	$18.05
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.16 / $30.16 / $48.71	Professional	TC	$23.16	$30.16	$48.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $36.72 / $65.83	Professional		$18.75	$36.72	$65.83
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $11.49 / $18.63	Professional	26	$4.63	$11.49	$18.63
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $26.34 / $47.21	Professional	TC	$14.12	$26.34	$47.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $40.61 / $42.87	Professional		$30.74	$40.61	$42.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $9.57 / $18.38	Professional	26	$9.46	$9.57	$18.38
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $41.91 / $97.17	Professional		$25.21	$41.91	$97.17
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $11.63 / $25.39	Professional	26	$6.34	$11.63	$25.39
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $28.06 / $72.47	Professional	TC	$17.57	$28.06	$72.47
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $31.04 / $62.43	Professional		$23.41	$31.04	$62.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.38 / $20.54	Professional	26	$7.04	$9.38	$20.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $22.57 / $51.35	Professional	TC	$17.32	$22.57	$51.35
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.22 / $10.22 / $27.97	Facility	26	$10.22	$10.22	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $46.08 / $80.70	Professional		$18.75	$46.08	$80.70
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $13.04 / $23.40	Professional	26	$4.63	$13.04	$23.40
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $33.04 / $58.54	Professional	TC	$14.12	$33.04	$58.54