Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $13.26 / $28.98	Facility	26	$8.46	$13.26	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $46.62 / $125.67	Professional		$31.19	$46.62	$125.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.06 / $26.43	Professional	26	$8.46	$11.06	$26.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $33.40 / $68.76	Professional	TC	$22.74	$33.40	$68.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $27.93 / $30.52	Professional		$27.93	$27.93	$30.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $8.48 / $15.23	Professional	26	$7.86	$8.48	$15.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $41.89 / $108.96	Professional		$32.04	$41.89	$108.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.66 / $25.46	Professional	26	$8.91	$11.66	$25.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.13 / $30.24 / $72.26	Professional	TC	$23.13	$30.24	$72.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $41.44 / $57.11	Professional		$15.67	$41.44	$57.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $60.62 / $146.66	Professional		$32.45	$60.62	$146.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $15.06 / $32.61	Professional	26	$8.27	$15.06	$32.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $45.79 / $109.28	Professional	TC	$23.61	$45.79	$109.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $55.75 / $82.87	Professional		$41.15	$55.75	$82.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $13.91 / $22.26	Professional	26	$10.11	$13.91	$22.26
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $39.96 / $64.34	Professional	TC	$30.64	$39.96	$64.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $47.70 / $85.49	Professional		$32.95	$47.70	$85.49
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $14.16 / $22.95	Professional	26	$6.46	$14.16	$22.95
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $34.89 / $62.53	Professional	TC	$24.10	$34.89	$62.53
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $11.35 / $11.35	Professional	26	$11.35	$11.35	$11.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $44.46 / $75.87	Professional		$43.32	$44.46	$75.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $12.77 / $22.66	Professional	26	$12.63	$12.77	$22.66
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $58.63 / $131.88	Professional		$36.01	$58.63	$131.88
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $14.62 / $31.78	Professional	26	$8.64	$14.62	$31.78
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $40.64 / $99.04	Professional	TC	$24.22	$40.64	$99.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $43.84 / $93.04	Professional		$33.51	$43.84	$93.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $11.27 / $24.79	Professional	26	$8.47	$11.27	$24.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $31.59 / $67.02	Professional	TC	$24.35	$31.59	$67.02
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $12.60 / $12.60 / $35.18	Facility	26	$12.60	$12.60	$35.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $59.84 / $107.55	Professional		$35.11	$59.84	$107.55
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $16.07 / $28.84	Professional	26	$6.46	$16.07	$28.84
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $43.77 / $78.72	Professional	TC	$28.65	$43.77	$78.72