Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.18 / $28.84	Facility	26	$7.08	$13.18	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $147.91	Professional		$30.90	$52.48	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.85 / $33.11	Professional	26	$8.13	$15.85	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $81.28	Professional	TC	$20.42	$30.90	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $31.62	Professional		$26.92	$28.84	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $10.23	Professional	26	$8.51	$8.51	$10.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $26.30	Professional	TC	$18.20	$18.20	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $81.28	Professional		$28.84	$36.31	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $19.95	Professional	26	$7.59	$9.55	$19.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $56.23	Professional	TC	$21.38	$26.92	$56.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $54.95	Professional		$15.85	$38.90	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $141.25	Professional		$30.20	$52.48	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.79 / $38.02	Professional	26	$7.76	$14.79	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.02 / $134.90	Professional	TC	$21.88	$38.02	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $79.43	Professional		$39.81	$52.48	$79.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.49 / $30.90	Professional	26	$10.47	$15.49	$30.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $58.88	Professional	TC	$30.90	$40.74	$58.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $93.33	Professional		$23.44	$51.29	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.13 / $25.70	Professional	26	$7.59	$14.13	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $37.15 / $66.07	Professional	TC	$18.62	$37.15	$66.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $53.70	Professional		$36.31	$37.15	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.72 / $18.20	Professional	26	$10.72	$10.72	$18.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $102.33	Professional		$43.65	$52.48	$102.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $28.84	Professional	26	$12.88	$15.85	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $35.48 / $74.13	Professional	TC	$30.20	$35.48	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $77.62	Professional		$29.51	$38.02	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $22.39	Professional	26	$7.76	$11.22	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $54.95	Professional	TC	$20.89	$26.92	$54.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.59 / $30.20	Facility	26	$8.91	$12.59	$30.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $97.72	Professional		$23.44	$51.29	$97.72
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $29.51	Professional	26	$8.51	$14.13	$29.51
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $37.15 / $72.44	Professional	TC	$18.62	$37.15	$72.44