Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.91 / $10.91 / $15.73	Facility	26	$6.91	$10.91	$15.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $30.60 / $69.34	Professional		$21.01	$30.60	$69.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $8.96 / $21.77	Professional	26	$6.91	$8.96	$21.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.58 / $61.24 / $117.10	Professional	50	$54.58	$61.24	$117.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $19.46 / $39.47	Professional	TC	$13.00	$19.46	$39.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $18.17 / $23.99	Professional		$16.63	$18.17	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.84 / $8.24 / $16.98	Professional	26	$4.84	$8.24	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.20 / $77.28	Professional		$18.00	$23.20	$77.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $8.09 / $20.54	Professional	26	$6.18	$8.09	$20.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.62 / $34.79 / $105.12	Professional	50	$26.62	$34.79	$105.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.55 / $15.11 / $46.74	Professional	TC	$11.55	$15.11	$46.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $20.43 / $33.11	Professional		$12.69	$20.43	$33.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $39.72 / $93.86	Professional		$21.46	$39.72	$93.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $12.12 / $26.66	Professional	26	$6.75	$12.12	$26.66
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $47.09	Professional	50	$41.47	$41.47	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $27.32 / $59.58	Professional	TC	$13.19	$27.32	$59.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.26 / $49.10	Professional		$24.25	$33.26	$49.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $11.40 / $19.93	Professional	26	$8.19	$11.40	$19.93
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.68 / $20.37 / $37.63	Professional	TC	$15.68	$20.37	$37.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $29.59 / $50.47	Professional		$19.46	$29.59	$50.47
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.16 / $11.47 / $18.59	Professional	26	$5.16	$11.47	$18.59
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.29 / $19.67 / $31.88	Professional	TC	$12.29	$19.67	$31.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $32.34 / $57.44	Professional		$31.14	$32.34	$57.44
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.34 / $18.36	Professional	26	$10.23	$10.34	$18.36
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $39.78 / $85.12	Professional		$24.15	$39.78	$85.12
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $11.93 / $26.19	Professional	26	$7.07	$11.93	$26.19
MVP Health Care Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $47.09	Professional	50	$41.47	$41.47	$47.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $13.78 / $24.65 / $54.98	Professional	TC	$13.78	$24.65	$54.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $28.38 / $61.49	Professional		$21.51	$28.38	$61.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.42 / $20.39	Professional	26	$7.08	$9.42	$20.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $19.71 / $43.55	Professional	TC	$14.31	$19.71	$43.55
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $10.19 / $27.97	Facility	26	$10.19	$10.19	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $35.33 / $62.62	Professional		$20.79	$35.33	$62.62
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.16 / $13.01 / $23.35	Professional	26	$5.16	$13.01	$23.35
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $15.18 / $22.32 / $39.26	Professional	TC	$15.18	$22.32	$39.26