Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.41 / $15.65 / $34.27	Facility	26	$10.41	$15.65	$34.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $42.75 / $97.99	Professional		$26.79	$42.75	$97.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $13.64 / $28.64	Professional	26	$10.41	$13.64	$28.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $28.34 / $59.46	Professional	TC	$17.72	$28.34	$59.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $27.43 / $32.95	Professional		$27.43	$27.43	$32.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.78 / $18.09	Professional	26	$9.35	$10.78	$18.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $40.71 / $103.57	Professional		$31.59	$40.71	$103.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.54 / $28.93	Professional	26	$8.82	$11.54	$28.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.31 / $28.24 / $63.85	Professional	TC	$22.31	$28.24	$63.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $40.47 / $59.13	Professional		$18.64	$40.47	$59.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $56.88 / $140.13	Professional		$31.63	$56.88	$140.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $17.75 / $39.72	Professional	26	$9.36	$17.75	$39.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $40.94 / $106.79	Professional	TC	$22.52	$40.94	$106.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $49.93 / $85.76	Professional		$38.97	$49.93	$85.76
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $16.42 / $26.49	Professional	26	$12.04	$16.42	$26.49
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $39.06 / $62.93	Professional	TC	$29.95	$39.06	$62.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $49.75 / $89.16	Professional		$26.74	$49.75	$89.16
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $16.86 / $27.32	Professional	26	$7.23	$16.86	$27.32
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $34.50 / $61.84	Professional	TC	$19.53	$34.50	$61.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $43.37 / $43.37	Professional		$43.37	$43.37	$43.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $54.58 / $69.63	Professional		$41.96	$54.58	$69.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $15.40 / $30.57	Professional	26	$13.61	$15.40	$30.57
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $69.31 / $69.31	Professional	TC	$69.31	$69.31	$69.31
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $56.52 / $128.55	Professional		$34.93	$56.52	$128.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $17.30 / $37.36	Professional	26	$9.83	$17.30	$37.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $36.42 / $93.36	Professional	TC	$22.65	$36.42	$93.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $42.28 / $97.46	Professional		$33.61	$42.28	$97.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.71 / $33.89	Professional	26	$10.74	$13.71	$33.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.11 / $28.74 / $61.72	Professional	TC	$23.11	$28.74	$61.72
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $14.99 / $14.99 / $43.37	Facility	26	$14.99	$14.99	$43.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $61.92 / $110.55	Professional		$26.74	$61.92	$110.55
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $19.13 / $34.32	Professional	26	$7.23	$19.13	$34.32
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $42.80 / $77.84	Professional	TC	$19.53	$42.80	$77.84