Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $20.20 / $152.54	Facility		$9.49	$20.20	$152.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $12.30 / $25.38	Facility	26	$7.48	$12.30	$25.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.12 / $25.70	Professional		$10.30	$13.12	$25.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $8.83 / $19.38	Professional	26	$7.16	$8.83	$19.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.04 / $11.04 / $12.27	Professional	50	$11.04	$11.04	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $4.40 / $8.53	Professional	TC	$3.15	$4.40	$8.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Professional		$20.53	$20.53	$20.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $11.31 / $32.76	Professional		$8.65	$11.31	$32.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $7.29 / $20.96	Professional	26	$5.57	$7.29	$20.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $12.97 / $16.96 / $49.14	Professional	50	$12.97	$16.96	$49.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.07 / $3.91 / $11.44	Professional	TC	$3.07	$3.91	$11.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $11.19	Facility		$5.15	$5.15	$11.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $11.19 / $16.35	Professional		$5.15	$11.19	$16.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $13.42 / $37.88	Facility		$10.26	$13.42	$37.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $19.42 / $39.36	Professional		$10.52	$19.42	$39.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $12.63 / $24.34	Professional	26	$6.32	$12.63	$24.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.77 / $14.57	Professional	TC	$2.88	$5.77	$14.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $5.46 / $332.00	Facility		$3.17	$5.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.27 / $23.17	Professional		$10.53	$15.27	$23.17
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $10.22 / $15.88	Professional	26	$7.70	$10.22	$15.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.99 / $4.84 / $7.79	Professional	TC	$3.99	$4.84	$7.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.75 / $23.89	Professional		$9.21	$13.75	$23.89
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $10.11 / $16.39	Professional	26	$5.20	$10.11	$16.39
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.89 / $4.63 / $7.50	Professional	TC	$2.89	$4.63	$7.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.68 / $105.94	Facility		$10.23	$13.68	$105.94
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $17.42 / $38.94	Professional		$11.33	$17.42	$38.94
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $11.59 / $23.48	Professional	26	$7.28	$11.59	$23.48
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $3.10 / $5.26 / $13.87	Professional	TC	$3.10	$5.26	$13.87
United Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $57.67 / $73.89	Facility		$47.52	$57.67	$73.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $12.27 / $26.77	Professional		$9.74	$12.27	$26.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $8.48 / $19.70	Professional	26	$6.33	$8.48	$19.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.94 / $4.01 / $10.51	Professional	TC	$2.94	$4.01	$10.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $38.59	Facility		$13.11	$13.11	$38.59
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $8.99 / $8.99 / $30.22	Facility	26	$8.99	$8.99	$30.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $15.15 / $30.04	Professional		$9.23	$15.15	$30.04
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $10.39 / $20.59	Professional	26	$5.20	$10.39	$20.59
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $3.57 / $4.76 / $9.10	Professional	TC	$3.57	$4.76	$9.10