Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.08 / $92.42 / $169.74	Facility	26	$70.08	$92.42	$169.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $468.52 / $1,714.40	Professional		$305.39	$468.52	$1,714.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $89.93 / $177.33	Professional	26	$61.08	$89.93	$177.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.32 / $386.13 / $784.59	Professional	TC	$244.32	$386.13	$784.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.96 / $92.96 / $92.96	Professional	26	$92.96	$92.96	$92.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.11 / $416.04 / $991.05	Professional		$328.11	$416.04	$991.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $76.40 / $173.06	Professional	26	$59.18	$76.40	$173.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.92 / $340.98 / $816.57	Professional	TC	$268.92	$340.98	$816.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $519.44 / $625.17	Professional		$105.74	$519.44	$625.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.55 / $543.46 / $1,311.97	Professional		$313.55	$543.46	$1,311.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.37 / $101.30 / $212.69	Professional	26	$51.37	$101.30	$212.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.19 / $465.72 / $1,102.83	Professional	TC	$262.19	$465.72	$1,102.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $456.47 / $792.22	Professional		$95.36	$456.47	$792.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $89.81 / $151.43	Professional	26	$63.98	$89.81	$151.43
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $291.27 / $408.16 / $676.92	Professional	TC	$291.27	$408.16	$676.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $504.13 / $686.02	Professional		$288.08	$504.13	$686.02
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $73.97 / $127.74	Professional	26	$63.98	$73.97	$127.74
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.02 / $407.77 / $558.28	Professional	TC	$233.02	$407.77	$558.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.71 / $154.94 / $177.82	Professional	26	$141.71	$154.94	$177.82
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $572.30 / $1,311.97	Professional		$161.88	$572.30	$1,311.97
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $102.81 / $209.43	Professional	26	$55.56	$102.81	$209.43
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $264.39 / $479.16 / $1,102.83	Professional	TC	$264.39	$479.16	$1,102.83
United Facility/Professional Professional Modifier Low / Median / High Price $361.14 / $499.56 / $1,131.23	Professional		$361.14	$499.56	$1,131.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $80.23 / $176.00	Professional	26	$61.90	$80.23	$176.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.45 / $408.00 / $921.14	Professional	TC	$305.45	$408.00	$921.14
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $78.19 / $78.19 / $136.56	Facility	26	$78.19	$78.19	$136.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $572.02 / $930.69	Professional		$321.58	$572.02	$930.69
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $64.26 / $98.50 / $173.29	Professional	26	$64.26	$98.50	$173.29
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $261.70 / $462.68 / $757.39	Professional	TC	$261.70	$462.68	$757.39