Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $9.51 / $17.30	Facility	26	$6.29	$9.51	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $24.37 / $62.95	Professional		$17.16	$24.37	$62.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $7.94 / $19.14	Professional	26	$5.86	$7.94	$19.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.30 / $16.76 / $37.29	Professional	TC	$11.30	$16.76	$37.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.30 / $5.67 / $9.19	Professional	26	$4.30	$5.67	$9.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $23.90 / $60.46	Professional		$18.35	$23.90	$60.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.47 / $7.16 / $17.19	Professional	26	$5.47	$7.16	$17.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.80 / $16.70 / $37.90	Professional	TC	$12.80	$16.70	$37.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $23.29 / $34.53	Professional		$11.24	$23.29	$34.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $33.79 / $85.84	Professional		$19.04	$33.79	$85.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $10.59 / $23.17	Professional	26	$5.66	$10.59	$23.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $23.88 / $61.21	Professional	TC	$12.99	$23.88	$61.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $30.04 / $49.57	Professional		$22.53	$30.04	$49.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $10.07 / $15.95	Professional	26	$7.25	$10.07	$15.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $22.16 / $35.88	Professional	TC	$17.04	$22.16	$35.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $28.53 / $51.13	Professional		$16.23	$28.53	$51.13
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $10.16 / $16.46	Professional	26	$4.26	$10.16	$16.46
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $19.34 / $34.67	Professional	TC	$11.97	$19.34	$34.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $23.99 / $23.99	Professional		$22.53	$23.99	$23.99
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.77 / $18.75	Professional	26	$8.66	$15.77	$18.75
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $33.63 / $76.31	Professional		$21.04	$33.63	$76.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $10.55 / $22.88	Professional	26	$5.78	$10.55	$22.88
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $13.11 / $21.35 / $53.40	Professional	TC	$13.11	$21.35	$53.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $24.61 / $53.15	Professional		$20.10	$24.61	$53.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.30 / $18.05	Professional	26	$6.46	$8.30	$18.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.82 / $17.68 / $37.63	Professional	TC	$13.82	$17.68	$37.63
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $24.46	Facility	26	$9.02	$9.02	$24.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $35.79 / $63.40	Professional		$16.23	$35.79	$63.40
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $11.52 / $20.68	Professional	26	$4.26	$11.52	$20.68
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $24.27 / $44.52	Professional	TC	$11.97	$24.27	$44.52