Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.84 / $12.85 / $22.64	Facility	26	$8.84	$12.85	$22.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $37.61 / $85.67	Professional		$23.66	$37.61	$85.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.75 / $21.26	Professional	26	$8.18	$10.75	$21.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $24.87 / $46.22	Professional	TC	$15.48	$24.87	$46.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $23.86	Professional		$22.66	$22.66	$23.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $11.36 / $14.30	Professional	26	$7.43	$11.36	$14.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $33.79 / $89.26	Professional		$26.15	$33.79	$89.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.21 / $24.43	Professional	26	$7.04	$9.21	$24.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $24.36 / $57.00	Professional	TC	$18.80	$24.36	$57.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $33.79 / $48.49	Professional		$14.69	$33.79	$48.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $50.19 / $124.39	Professional		$27.71	$50.19	$124.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $14.23 / $32.35	Professional	26	$7.83	$14.23	$32.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $36.09 / $89.34	Professional	TC	$19.10	$36.09	$89.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $44.85 / $70.69	Professional		$34.42	$44.85	$70.69
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $13.04 / $20.88	Professional	26	$9.49	$13.04	$20.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $32.84 / $52.98	Professional	TC	$25.20	$32.84	$52.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $40.68 / $72.91	Professional		$24.89	$40.68	$72.91
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $13.28 / $21.52	Professional	26	$6.46	$13.28	$21.52
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $28.67 / $51.39	Professional	TC	$18.43	$28.67	$51.39
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $34.86 / $83.15	Professional		$34.49	$34.86	$83.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $14.81 / $21.94	Professional	26	$12.00	$14.81	$21.94
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $49.97 / $108.68	Professional		$29.75	$49.97	$108.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $14.17 / $30.29	Professional	26	$8.30	$14.17	$30.29
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $31.14 / $78.81	Professional	TC	$19.79	$31.14	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $36.47 / $78.11	Professional		$28.55	$36.47	$78.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.19 / $24.37	Professional	26	$8.66	$11.19	$24.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $24.65 / $55.08	Professional	TC	$19.94	$24.65	$55.08
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $11.81 / $11.81 / $35.18	Facility	26	$11.81	$11.81	$35.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $51.04 / $91.73	Professional		$24.89	$51.04	$91.73
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $15.07 / $27.04	Professional	26	$6.46	$15.07	$27.04
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $35.97 / $64.69	Professional	TC	$18.43	$35.97	$64.69