Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $12.86 / $23.41	Facility	26	$8.46	$12.86	$23.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $39.72 / $104.72	Professional		$27.85	$39.72	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.19 / $24.38	Professional	26	$8.46	$10.19	$24.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $27.69 / $57.56	Professional	TC	$19.39	$27.69	$57.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $14.78 / $14.78	Professional	26	$14.78	$14.78	$14.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $37.15 / $96.85	Professional		$28.83	$37.15	$96.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.66 / $24.10	Professional	26	$8.91	$11.66	$24.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.50 / $65.95	Professional	TC	$19.50	$25.50	$65.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $42.87 / $58.06	Professional		$15.19	$42.87	$58.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $56.08 / $129.56	Professional		$32.19	$56.08	$129.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $14.57 / $31.76	Professional	26	$7.84	$14.57	$31.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $41.54 / $113.02	Professional	TC	$23.43	$41.54	$113.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.29 / $83.56	Professional		$37.97	$48.29	$83.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $13.45 / $21.58	Professional	26	$9.81	$13.45	$21.58
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.32 / $40.85 / $65.77	Professional	TC	$31.32	$40.85	$65.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $48.48 / $86.88	Professional		$25.42	$48.48	$86.88
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $13.73 / $22.26	Professional	26	$5.93	$13.73	$22.26
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $36.06 / $64.62	Professional	TC	$19.48	$36.06	$64.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $56.56 / $66.93	Professional		$40.72	$56.56	$66.93
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $12.63 / $12.63	Professional	26	$12.49	$12.63	$12.63
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $55.30 / $120.00	Professional		$34.53	$55.30	$120.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $14.57 / $31.04	Professional	26	$8.35	$14.57	$31.04
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $37.82 / $98.05	Professional	TC	$23.92	$37.82	$98.05
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $40.42 / $86.37	Professional		$33.47	$40.42	$86.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $11.55 / $25.18	Professional	26	$8.77	$11.55	$25.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $29.62 / $67.11	Professional	TC	$24.54	$29.62	$67.11
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $12.21 / $12.21 / $35.18	Facility	26	$12.21	$12.21	$35.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $60.33 / $107.73	Professional		$25.42	$60.33	$107.73
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $15.58 / $27.96	Professional	26	$5.93	$15.58	$27.96
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $44.75 / $81.34	Professional	TC	$19.48	$44.75	$81.34