Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.68 / $11.61 / $25.35	Facility	26	$7.68	$11.61	$25.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $34.22 / $89.34	Professional		$22.87	$34.22	$89.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.68 / $21.60	Professional	26	$7.67	$9.68	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.20 / $23.10 / $45.60	Professional	TC	$15.20	$23.10	$45.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $26.24	Professional		$21.79	$21.79	$26.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $7.02 / $7.02	Professional	26	$7.02	$7.02	$7.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $30.60 / $82.21	Professional		$23.74	$30.60	$82.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $10.56 / $21.48	Professional	26	$8.07	$10.56	$21.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $20.04 / $54.10	Professional	TC	$15.33	$20.04	$54.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $33.32 / $47.04	Professional		$13.72	$33.32	$47.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $45.56 / $110.49	Professional		$25.53	$45.56	$110.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $13.19 / $29.35	Professional	26	$7.11	$13.19	$29.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.70 / $33.75 / $88.10	Professional	TC	$18.70	$33.75	$88.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $43.14 / $67.95	Professional		$33.08	$43.14	$67.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $12.17 / $19.47	Professional	26	$8.85	$12.17	$19.47
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $31.94 / $51.57	Professional	TC	$24.52	$31.94	$51.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $39.49 / $70.78	Professional		$21.73	$39.49	$70.78
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.36 / $12.40 / $20.09	Professional	26	$5.36	$12.40	$20.09
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $28.28 / $50.69	Professional	TC	$16.37	$28.28	$50.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.74 / $56.26	Professional		$33.36	$33.74	$56.26
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $11.56 / $22.89	Professional	26	$11.18	$11.56	$22.89
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $45.56 / $103.21	Professional		$28.38	$45.56	$103.21
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $13.20 / $28.22	Professional	26	$7.51	$13.20	$28.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $30.26 / $77.34	Professional	TC	$18.84	$30.26	$77.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $34.07 / $70.93	Professional		$27.47	$34.07	$70.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.21 / $22.33	Professional	26	$7.92	$10.21	$22.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $23.96 / $47.51	Professional	TC	$19.32	$23.96	$47.51
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $11.03 / $11.03 / $32.72	Facility	26	$11.03	$11.03	$32.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $49.06 / $89.05	Professional		$21.73	$49.06	$89.05
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.36 / $14.07 / $25.24	Professional	26	$5.36	$14.07	$25.24
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $35.00 / $63.81	Professional	TC	$16.37	$35.00	$63.81