Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $12.02 / $26.30	Facility	26	$6.31	$12.02	$26.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $52.48 / $141.25	Facility	TC	$24.55	$52.48	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $74.13	Professional		$16.98	$28.18	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.55 / $33.11	Professional	26	$6.03	$9.55	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $48.98	Professional	TC	$15.14	$20.89	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Professional	26	$7.94	$7.94	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $63.10	Professional		$23.44	$28.84	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.59 / $16.22	Professional	26	$6.17	$7.59	$16.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.89 / $42.66	Professional	TC	$17.38	$20.89	$42.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $29.51 / $41.69	Professional		$11.75	$29.51	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	TC	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $104.71	Professional		$22.91	$40.74	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $12.02 / $28.84	Professional	26	$6.31	$12.02	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $29.51 / $77.62	Professional	TC	$16.60	$29.51	$77.62
Emblem Health Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	TC	$17.38	$17.38	$17.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $60.26	Professional		$30.20	$39.81	$60.26
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.02 / $25.70	Professional	26	$8.13	$12.02	$25.70
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $44.67	Professional	TC	$22.91	$30.20	$44.67
Excellus BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $5.13 / $5.13 / $5.13	Facility	TC	$5.13	$5.13	$5.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $69.18	Professional		$23.99	$38.02	$69.18
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $19.05	Professional	26	$7.24	$10.47	$19.05
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $27.54 / $50.12	Professional	TC	$16.60	$27.54	$50.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $9.55	Professional	26	$7.59	$9.33	$9.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $75.86	Professional		$33.88	$39.81	$75.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $21.38	Professional	26	$9.55	$11.75	$21.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $54.95	Professional	TC	$23.99	$28.18	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $60.26	Professional		$22.91	$29.51	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $16.98	Professional	26	$6.31	$8.32	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.89 / $42.66	Professional	TC	$16.22	$20.89	$42.66
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $9.33 / $15.14	Facility	26	$6.31	$9.33	$15.14
Univera Facility/Professional Facility Modifier TC Low / Median / High Price $5.13 / $13.18 / $28.18	Facility	TC	$5.13	$13.18	$28.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $69.18	Professional		$23.99	$37.15	$69.18
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.47 / $20.42	Professional	26	$6.76	$10.47	$20.42
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.92 / $50.12	Professional	TC	$16.60	$26.92	$50.12