Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $11.06 / $24.57	Facility	26	$7.17	$11.06	$24.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.28 / $42.67 / $189.22	Facility	TC	$18.28	$42.67	$189.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $32.84 / $79.36	Professional		$20.49	$32.84	$79.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $9.32 / $22.46	Professional	26	$7.16	$9.32	$22.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $21.23 / $45.59	Professional	TC	$15.75	$21.23	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $25.09 / $33.67	Professional		$25.09	$25.09	$33.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.03 / $6.98 / $12.84	Professional	26	$5.03	$6.98	$12.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $32.85 / $76.22	Professional		$25.91	$32.85	$76.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.85 / $8.96 / $20.90	Professional	26	$6.85	$8.96	$20.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.66 / $50.49	Professional	TC	$19.05	$23.66	$50.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $31.89 / $45.08	Professional		$13.19	$31.89	$45.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $43.76 / $100.97	Professional		$24.42	$43.76	$100.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $12.73 / $27.42	Professional	26	$6.64	$12.73	$27.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $30.93 / $72.19	Professional	TC	$17.93	$30.93	$72.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $39.72 / $67.87	Professional		$30.85	$39.72	$67.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.80 / $18.72	Professional	26	$8.51	$11.80	$18.72
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $32.39 / $52.28	Professional	TC	$24.86	$32.39	$52.28
Excellus BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $5.47 / $5.47 / $5.47	Facility	TC	$5.47	$5.47	$5.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $38.68 / $69.31	Professional		$25.56	$38.68	$69.31
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $11.92 / $19.32	Professional	26	$7.61	$11.92	$19.32
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $27.89 / $49.99	Professional	TC	$17.04	$27.89	$49.99
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $6.74 / $6.74	Professional	26	$6.74	$6.74	$6.74
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $26.46 / $166.57 / $303.20	Facility	TC	$26.46	$166.57	$303.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.75 / $42.94	Professional		$32.39	$32.75	$42.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $10.76 / $20.00	Professional	26	$9.63	$10.76	$20.00
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
MVP Health Care Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $43.12 / $94.99	Professional		$25.79	$43.12	$94.99
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $12.37 / $27.10	Professional	26	$7.02	$12.37	$27.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $29.79 / $67.05	Professional	TC	$17.95	$29.79	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.15 / $67.52	Professional		$26.71	$32.15	$67.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $9.74 / $20.75	Professional	26	$7.71	$9.74	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $23.24 / $53.60	Professional	TC	$18.61	$23.24	$53.60
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.60 / $10.60 / $17.05	Facility	26	$10.60	$10.60	$17.05
Univera Facility/Professional Facility Modifier TC Low / Median / High Price $27.43 / $27.43 / $34.11	Facility	TC	$27.43	$27.43	$34.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $48.44 / $83.54	Professional		$25.60	$48.44	$83.54
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $13.53 / $23.29	Professional	26	$8.05	$13.53	$23.29
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $34.60 / $60.25	Professional	TC	$17.55	$34.60	$60.25