Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.17 / $12.01 / $32.21	Facility	26	$8.17	$12.01	$32.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $30.98 / $71.93	Professional		$21.71	$30.98	$71.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.81 / $25.05	Professional	26	$8.17	$9.81	$25.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $20.63 / $42.43	Professional	TC	$13.53	$20.63	$42.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $12.06 / $12.06	Professional	26	$12.06	$12.06	$12.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $29.14 / $75.45	Professional		$22.61	$29.14	$75.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $10.95 / $23.03	Professional	26	$8.63	$10.95	$23.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.65 / $17.85 / $47.52	Professional	TC	$13.65	$17.85	$47.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $29.98 / $44.17	Professional		$14.19	$29.98	$44.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $45.13 / $102.41	Professional		$24.46	$45.13	$102.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $13.35 / $28.91	Professional	26	$7.32	$13.35	$28.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $31.94 / $76.13	Professional	TC	$16.30	$31.94	$76.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.71 / $65.25	Professional		$32.36	$42.71	$65.25
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $12.17 / $21.28	Professional	26	$8.85	$12.17	$21.28
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.16 / $30.16 / $55.37	Professional	TC	$23.16	$30.16	$55.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $41.52 / $66.59	Professional		$19.38	$41.52	$66.59
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $12.40 / $20.09	Professional	26	$5.34	$12.40	$20.09
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $29.13 / $46.51	Professional	TC	$14.03	$29.13	$46.51
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $35.01 / $35.01	Professional		$35.01	$35.01	$35.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $34.35 / $49.84	Professional		$31.92	$34.35	$49.84
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $11.67 / $18.03	Professional	26	$8.85	$11.67	$18.03
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $45.82 / $99.67	Professional		$26.36	$45.82	$99.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $13.26 / $28.91	Professional	26	$7.86	$13.26	$28.91
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $28.98 / $69.88	Professional	TC	$16.30	$28.98	$69.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $34.47 / $73.81	Professional		$24.14	$34.47	$73.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $10.54 / $28.12	Professional	26	$7.61	$10.54	$28.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $23.63 / $51.94	Professional	TC	$16.96	$23.63	$51.94
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $10.11 / $10.11 / $31.82	Facility	26	$10.11	$10.11	$31.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $45.86 / $82.92	Professional		$19.38	$45.86	$82.92
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $14.07 / $26.12	Professional	26	$5.34	$14.07	$26.12
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $31.13 / $56.80	Professional	TC	$14.03	$31.13	$56.80