Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.64 / $10.84 / $21.82	Facility	26	$6.64	$10.84	$21.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $32.81 / $80.23	Professional		$22.13	$32.81	$80.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $8.28 / $18.19	Professional	26	$6.63	$8.28	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $22.37 / $47.48	Professional	TC	$15.48	$22.37	$47.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $21.97 / $21.97	Professional		$21.97	$21.97	$21.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $6.16 / $11.91	Professional	26	$6.09	$6.16	$11.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $32.03 / $77.91	Professional		$24.61	$32.03	$77.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $7.44 / $18.88	Professional	26	$5.69	$7.44	$18.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $23.78 / $52.95	Professional	TC	$18.80	$23.78	$52.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $34.27 / $46.01	Professional		$11.74	$34.27	$46.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $44.26 / $101.55	Professional		$25.43	$44.26	$101.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $11.33 / $25.38	Professional	26	$6.14	$11.33	$25.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $33.86 / $81.66	Professional	TC	$18.68	$33.86	$81.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $39.74 / $68.51	Professional		$31.14	$39.74	$68.51
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.94 / $17.34	Professional	26	$7.88	$10.94	$17.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $33.72 / $54.41	Professional	TC	$25.88	$33.72	$54.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $39.04 / $69.97	Professional		$20.14	$39.04	$69.97
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $10.90 / $17.19	Professional	26	$4.63	$10.90	$17.19
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $29.45 / $52.78	Professional	TC	$15.52	$29.45	$52.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $35.08 / $79.01	Professional		$32.40	$35.08	$79.01
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $17.14 / $17.64	Professional	26	$9.57	$17.14	$17.64
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $44.63 / $95.14	Professional		$27.49	$44.63	$95.14
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $11.39 / $24.50	Professional	26	$6.50	$11.39	$24.50
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $30.59 / $77.48	Professional	TC	$19.10	$30.59	$77.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $32.81 / $74.22	Professional		$25.98	$32.81	$74.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.13 / $19.62	Professional	26	$7.02	$9.13	$19.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $24.54 / $51.83	Professional	TC	$19.50	$24.54	$51.83
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.44 / $9.44 / $27.97	Facility	26	$9.44	$9.44	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $49.47 / $86.77	Professional		$20.14	$49.47	$86.77
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $12.52 / $21.60	Professional	26	$4.63	$12.52	$21.60
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $36.95 / $65.45	Professional	TC	$15.52	$36.95	$65.45