Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.76 / $23.00 / $54.28	Facility	26	$14.76	$23.00	$54.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $43.52 / $80.03	Professional		$29.04	$43.52	$80.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $16.07 / $27.78	Professional	26	$12.26	$16.07	$27.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $28.30 / $51.37	Professional	TC	$16.75	$28.30	$51.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $12.07 / $12.07	Professional	26	$12.07	$12.07	$12.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $44.74 / $103.76	Professional		$34.72	$44.74	$103.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $15.25 / $36.82	Professional	26	$11.66	$15.25	$36.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $28.64 / $64.66	Professional	TC	$23.06	$28.64	$64.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $41.91 / $65.84	Professional		$23.93	$41.91	$65.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $61.80 / $152.00	Professional		$35.26	$61.80	$152.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $21.92 / $49.36	Professional	26	$12.01	$21.92	$49.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $41.27 / $100.06	Professional	TC	$22.95	$41.27	$100.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.05 / $92.04	Professional		$45.00	$58.05	$92.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $21.47 / $33.99	Professional	26	$15.45	$21.47	$33.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $39.96 / $64.34	Professional	TC	$30.64	$39.96	$64.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $55.23 / $98.97	Professional		$28.46	$55.23	$98.97
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $21.62 / $35.04	Professional	26	$9.03	$21.62	$35.04
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $35.67 / $63.92	Professional	TC	$19.42	$35.67	$63.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $45.67 / $46.17	Professional		$45.67	$45.67	$46.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $18.07 / $25.65	Professional	26	$18.07	$18.07	$25.65
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $61.71 / $143.78	Professional		$33.68	$61.71	$143.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $22.22 / $48.11	Professional	26	$12.75	$22.22	$48.11
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $37.82 / $94.41	Professional	TC	$23.42	$37.82	$94.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $47.90 / $101.41	Professional		$37.94	$47.90	$101.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $17.68 / $38.45	Professional	26	$12.91	$17.68	$38.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $30.69 / $61.17	Professional	TC	$24.63	$30.69	$61.17
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $17.64 / $43.95	Facility	26	$17.64	$17.64	$43.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $68.31 / $124.51	Professional		$28.46	$68.31	$124.51
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $24.54 / $44.03	Professional	26	$9.03	$24.54	$44.03
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $43.77 / $80.47	Professional	TC	$19.42	$43.77	$80.47