Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $96.57 / $172.74	Professional		$64.92	$96.57	$172.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $18.14 / $32.10	Professional	26	$14.57	$18.14	$32.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $79.42 / $144.36	Professional	TC	$50.35	$79.42	$144.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $88.73 / $220.04	Professional		$70.80	$88.73	$220.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $18.02 / $43.11	Professional	26	$13.98	$18.02	$43.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.03 / $70.81 / $179.58	Professional	TC	$57.03	$70.81	$179.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $134.54 / $162.19	Professional		$27.66	$134.54	$162.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $127.96 / $376.54	Professional		$72.23	$127.96	$376.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $26.28 / $58.74	Professional	26	$14.31	$26.28	$58.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.89 / $110.85 / $315.02	Professional	TC	$53.89	$110.85	$315.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $128.83 / $223.10	Professional		$88.83	$128.83	$223.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $24.44 / $38.90	Professional	26	$17.68	$24.44	$38.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $92.83 / $121.41 / $194.35	Professional	TC	$92.83	$121.41	$194.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $138.02 / $243.33	Professional		$61.88	$138.02	$243.33
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $24.75 / $40.65	Professional	26	$10.35	$24.75	$40.65
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.60 / $115.34 / $203.34	Professional	TC	$46.60	$115.34	$203.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $109.49	Professional		$109.49	$109.49	$109.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $140.63 / $316.08	Professional		$69.30	$140.63	$316.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $25.04 / $53.61	Professional	26	$14.78	$25.04	$53.61
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $58.04 / $110.85 / $285.39	Professional	TC	$58.04	$110.85	$285.39
United Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $109.72 / $231.86	Professional		$73.53	$109.72	$231.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $19.82 / $51.00	Professional	26	$15.13	$19.82	$51.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.83 / $90.94 / $190.26	Professional	TC	$68.83	$90.94	$190.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $161.09 / $298.12	Professional		$62.41	$161.09	$298.12
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $28.08 / $50.88	Professional	26	$10.35	$28.08	$50.88
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $52.07 / $133.01 / $249.13	Professional	TC	$52.07	$133.01	$249.13