Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.26 / $17.50 / $36.94	Facility	26	$10.26	$17.50	$36.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $44.48 / $110.92	Professional		$28.82	$44.48	$110.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $13.58 / $29.23	Professional	26	$10.26	$13.58	$29.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $28.75 / $56.30	Professional	TC	$18.55	$28.75	$56.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $34.25 / $34.25	Professional		$34.25	$34.25	$34.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $42.25 / $104.72	Professional		$32.72	$42.25	$104.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $12.43 / $30.54	Professional	26	$9.50	$12.43	$30.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $28.92 / $66.34	Professional	TC	$22.81	$28.92	$66.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $41.44 / $61.56	Professional		$20.13	$41.44	$61.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $59.66 / $135.85	Professional		$34.24	$59.66	$135.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.50 / $41.57	Professional	26	$10.00	$18.50	$41.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $42.19 / $109.28	Professional	TC	$23.03	$42.19	$109.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $53.28 / $89.21	Professional		$40.86	$53.28	$89.21
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $17.71 / $28.58	Professional	26	$12.99	$17.71	$28.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $39.96 / $64.34	Professional	TC	$30.64	$39.96	$64.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $51.73 / $92.71	Professional		$27.68	$51.73	$92.71
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $18.19 / $29.49	Professional	26	$7.23	$18.19	$29.49
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $35.28 / $63.23	Professional	TC	$20.45	$35.28	$63.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $58.16 / $73.01	Professional		$40.54	$58.16	$73.01
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $15.52 / $33.58	Professional	26	$15.33	$15.52	$33.58
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $59.57 / $125.33	Professional		$35.83	$59.57	$125.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $18.47 / $40.40	Professional	26	$10.17	$18.47	$40.40
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.16 / $37.46 / $95.89	Professional	TC	$23.16	$37.46	$95.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $43.90 / $92.11	Professional		$35.79	$43.90	$92.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.88 / $32.63	Professional	26	$11.07	$14.88	$32.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $29.38 / $59.48	Professional	TC	$24.23	$29.38	$59.48
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $16.18 / $16.18 / $43.37	Facility	26	$16.18	$16.18	$43.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $64.42 / $114.96	Professional		$27.68	$64.42	$114.96
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $20.64 / $37.04	Professional	26	$7.23	$20.64	$37.04
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $43.77 / $79.59	Professional	TC	$20.45	$43.77	$79.59