Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.23 / $19.30 / $39.56	Facility	26	$12.23	$19.30	$39.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $54.12 / $102.66	Professional		$29.10	$54.12	$102.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $15.27 / $35.95	Professional	26	$12.23	$15.27	$35.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $34.09 / $68.17	Professional	TC	$16.88	$34.09	$68.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $8.43 / $8.43	Professional	26	$8.43	$8.43	$8.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $30.14 / $117.64	Professional		$23.38	$30.14	$117.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.30 / $35.70	Professional	26	$7.87	$10.30	$35.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $19.84 / $74.64	Professional	TC	$15.17	$19.84	$74.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $35.71 / $57.33	Professional		$21.63	$35.71	$57.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $68.95 / $145.15	Professional		$30.16	$68.95	$145.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $21.39 / $46.68	Professional	26	$11.06	$21.39	$46.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $46.30 / $97.89	Professional	TC	$19.86	$46.30	$97.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $57.19 / $92.37	Professional		$41.71	$57.19	$92.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.20 / $19.67 / $31.24	Professional	26	$14.20	$19.67	$31.24
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $35.06 / $56.53	Professional	TC	$26.90	$35.06	$56.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $48.60 / $87.09	Professional		$33.47	$48.60	$87.09
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $19.88 / $32.22	Professional	26	$8.52	$19.88	$32.22
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.07 / $32.78 / $54.87	Professional	TC	$21.07	$32.78	$54.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $29.63 / $36.71	Professional	26	$10.80	$29.63	$36.71
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $63.29 / $148.71	Professional		$33.54	$63.29	$148.71
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $20.45 / $43.07	Professional	26	$11.67	$20.45	$43.07
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $39.58 / $94.33	Professional	TC	$20.57	$39.58	$94.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $47.29 / $98.86	Professional		$33.93	$47.29	$98.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $16.23 / $35.54	Professional	26	$12.45	$16.23	$35.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $27.83 / $63.07	Professional	TC	$20.94	$27.83	$63.07
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $17.68 / $17.68 / $51.41	Facility	26	$17.68	$17.68	$51.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $60.97 / $109.56	Professional		$41.30	$60.97	$109.56
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $22.56 / $40.47	Professional	26	$8.52	$22.56	$40.47
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $38.40 / $69.06	Professional	TC	$26.13	$38.40	$69.06