Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.48 / $13.29 / $19.46	Facility	26	$9.48	$13.29	$19.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $41.82 / $86.07	Professional		$26.73	$41.82	$86.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $11.70 / $26.69	Professional	26	$8.18	$11.70	$26.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $28.03 / $53.79	Professional	TC	$18.55	$28.03	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $30.54 / $39.71	Professional		$25.67	$30.54	$39.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $8.48 / $15.27	Professional	26	$7.85	$8.48	$15.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $37.95 / $95.52	Professional		$29.03	$37.95	$95.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $9.77 / $23.75	Professional	26	$7.47	$9.77	$23.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $27.72 / $65.48	Professional	TC	$21.55	$27.72	$65.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $39.04 / $54.74	Professional		$15.69	$39.04	$54.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $54.14 / $135.50	Professional		$30.41	$54.14	$135.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $14.70 / $31.93	Professional	26	$7.87	$14.70	$31.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $40.92 / $103.05	Professional	TC	$21.77	$40.92	$103.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $49.14 / $80.20	Professional		$36.81	$49.14	$80.20
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $13.86 / $22.29	Professional	26	$10.13	$13.86	$22.29
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.28 / $38.18 / $61.51	Professional	TC	$29.28	$38.18	$61.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $46.55 / $83.43	Professional		$25.65	$46.55	$83.43
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $14.19 / $22.99	Professional	26	$5.93	$14.19	$22.99
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $33.72 / $60.44	Professional	TC	$19.73	$33.72	$60.44
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $41.77 / $66.34	Professional		$36.79	$41.77	$66.34
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $12.32 / $23.40	Professional	26	$11.04	$12.32	$23.40
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $53.83 / $124.00	Professional		$33.14	$53.83	$124.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $14.57 / $31.76	Professional	26	$8.05	$14.57	$31.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $35.47 / $90.63	Professional	TC	$22.41	$35.47	$90.63
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $40.54 / $82.06	Professional		$32.38	$40.54	$82.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $11.69 / $28.54	Professional	26	$8.88	$11.69	$28.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $28.09 / $57.33	Professional	TC	$22.98	$28.09	$57.33
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $35.18	Facility	26	$12.62	$12.62	$35.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $57.92 / $104.09	Professional		$25.65	$57.92	$104.09
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $16.10 / $28.88	Professional	26	$5.93	$16.10	$28.88
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $41.82 / $75.20	Professional	TC	$19.73	$41.82	$75.20