Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.80 / $30.20	Facility	26	$9.33	$13.80	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $120.23	Professional		$22.91	$41.69	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $32.36	Professional	26	$7.08	$12.02	$32.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $53.70 / $93.33	Professional	52	$30.20	$53.70	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $61.66	Professional	TC	$15.14	$25.12	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $27.54	Professional		$25.12	$25.12	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $74.13	Professional		$21.38	$26.92	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $19.95	Professional	26	$6.46	$8.32	$19.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $18.62 / $50.12	Professional	TC	$14.79	$18.62	$50.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $39.81	Professional		$13.18	$26.92	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $138.04	Professional		$27.54	$46.77	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $37.15	Professional	26	$7.94	$14.13	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.11 / $93.33	Professional	TC	$17.78	$33.11	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $61.66	Professional		$31.62	$41.69	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $35.48	Professional	26	$9.55	$13.80	$35.48
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $43.65	Professional	TC	$22.91	$30.20	$43.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $67.61	Professional		$23.44	$38.02	$67.61
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $21.38	Professional	26	$7.41	$12.02	$21.38
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $46.77	Professional	TC	$16.22	$26.30	$46.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $38.90	Professional		$38.02	$38.90	$38.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.75 / $12.02	Professional	26	$10.96	$11.75	$12.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $75.86	Professional		$36.31	$42.66	$75.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.18 / $23.99	Professional	26	$10.72	$13.18	$23.99
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $29.51 / $53.70	Professional	TC	$25.12	$29.51	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $66.07	Professional		$24.55	$33.11	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.77 / $19.50	Professional	26	$7.24	$9.77	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $46.77	Professional	TC	$16.98	$23.44	$46.77
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $10.72 / $32.36	Facility	26	$7.41	$10.72	$32.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $75.86	Professional		$23.44	$38.02	$75.86
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $26.30	Professional	26	$7.41	$12.02	$26.30
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $53.70	Professional	TC	$16.22	$25.70	$53.70