Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $38.90 / $91.20	Facility	26	$28.84	$38.90	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $478.63	Professional		$64.57	$123.03	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $87.10	Professional	26	$25.70	$40.74	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $85.11 / $218.78	Professional	TC	$37.15	$85.11	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $44.67 / $51.29	Professional	26	$15.14	$44.67	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $57.54	Professional	26	$25.70	$30.90	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $87.10 / $128.82	Professional	TC	$69.18	$87.10	$128.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $147.91	Professional		$40.74	$107.15	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $478.63	Professional		$83.18	$158.49	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $40.74 / $102.33	Professional	26	$21.38	$40.74	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $112.20 / $346.74	Professional	TC	$60.26	$112.20	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $58.88	Professional	26	$26.92	$36.31	$58.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $151.36	Professional	TC	$77.62	$104.71	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $257.04	Professional		$69.18	$154.88	$257.04
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $69.18	Professional	26	$25.12	$41.69	$69.18
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $112.20 / $186.21	Professional	TC	$44.67	$112.20	$186.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $141.25	Professional		$104.71	$114.82	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $47.86	Professional	26	$32.36	$32.36	$47.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $269.15	Professional		$120.23	$144.54	$269.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $72.44	Professional	26	$33.11	$39.81	$72.44
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $102.33 / $194.98	Professional	TC	$87.10	$102.33	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $223.87	Professional		$81.28	$107.15	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $29.51 / $63.10	Professional	26	$21.88	$29.51	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $79.43 / $165.96	Professional	TC	$58.88	$79.43	$165.96
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $31.62 / $67.61	Facility	26	$22.39	$31.62	$67.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $257.04	Professional		$83.18	$144.54	$257.04
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $70.79	Professional	26	$22.39	$39.81	$70.79
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $104.71 / $186.21	Professional	TC	$60.26	$104.71	$186.21