Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.88 / $151.36	Facility		$8.71	$21.88	$151.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $12.59 / $32.36	Facility	26	$7.41	$12.59	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $40.74	Professional		$10.00	$14.13	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $33.11	Professional	26	$6.03	$8.91	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $12.30 / $29.51	Professional	50	$11.48	$12.30	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.34 / $3.98 / $8.91	Professional	TC	$2.34	$3.98	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $19.50	Professional		$9.12	$9.55	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $5.62 / $5.62	Professional	TC	$5.62	$5.62	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $26.92	Professional		$8.71	$10.72	$26.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $6.92 / $16.98	Professional	26	$5.62	$6.92	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $12.88 / $15.85 / $39.81	Professional	50	$12.88	$15.85	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $3.80 / $9.77	Professional	TC	$3.09	$3.80	$9.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $11.22	Facility		$5.13	$5.13	$11.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $11.22 / $16.22	Professional		$5.13	$11.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.13 / $34.67	Facility		$10.23	$14.13	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $41.69	Professional		$10.72	$18.20	$41.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.02 / $25.12	Professional	26	$6.76	$12.02	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.62 / $15.49	Professional	TC	$2.88	$5.62	$15.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.50 / $14.79	Facility		$3.47	$5.50	$14.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $23.99	Professional		$11.22	$15.14	$23.99
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $14.79	Professional	26	$7.76	$10.96	$14.79
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $5.50 / $8.71	Professional	TC	$4.17	$5.50	$8.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $25.70	Professional		$9.33	$14.79	$25.70
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $10.47 / $18.20	Professional	26	$5.25	$10.47	$18.20
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $4.79 / $8.13	Professional	TC	$3.24	$4.79	$8.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $165.96	Facility		$5.01	$5.01	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.24 / $53,703.18	Facility		$5.25	$7.24	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $25.70	Professional		$13.80	$16.60	$25.70
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.48 / $17.38	Professional	26	$9.33	$11.48	$17.38
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $5.37 / $8.51	Professional	TC	$4.57	$5.37	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $83.18	Facility		$57.54	$67.61	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $26.30	Professional		$8.91	$11.75	$26.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $8.32 / $17.38	Professional	26	$5.75	$8.32	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.98 / $9.12	Professional	TC	$2.82	$3.98	$9.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.12 / $30.90	Facility		$4.07	$9.12	$30.90
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $8.91 / $29.51	Facility	26	$6.31	$8.91	$29.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $29.51	Professional		$9.12	$14.13	$29.51
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $20.42	Professional	26	$6.31	$10.00	$20.42
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.57 / $8.91	Professional	TC	$2.88	$4.57	$8.91