Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $64.57 / $131.83	Facility	26	$34.67	$64.57	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $707.95	Professional		$229.09	$323.59	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $58.88 / $169.82	Professional	26	$38.90	$58.88	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $275.42 / $630.96	Professional	TC	$194.98	$275.42	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $831.76	Professional		$257.04	$338.84	$831.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $114.82	Professional	26	$38.90	$51.29	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $281.84 / $676.08	Professional	TC	$218.78	$281.84	$676.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $398.11 / $467.74	Professional		$72.44	$398.11	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,380.38	Professional		$251.19	$501.19	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $74.13 / $229.09	Professional	26	$35.48	$74.13	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $436.52 / $1,148.15	Professional	TC	$204.17	$436.52	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $602.56	Professional		$309.03	$407.38	$602.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $104.71	Professional	26	$48.98	$66.07	$104.71
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $346.74 / $501.19	Professional	TC	$275.42	$346.74	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $562.34	Professional		$123.03	$346.74	$562.34
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $64.57 / $93.33	Professional	26	$40.74	$64.57	$93.33
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $295.12 / $467.74	Professional	TC	$74.13	$295.12	$467.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $109.65 / $123.03	Professional	26	$58.88	$109.65	$123.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $501.19	Professional		$389.05	$457.09	$501.19
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $74.13	Professional	26	$58.88	$72.44	$74.13
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $389.05 / $426.58	Professional	TC	$331.13	$389.05	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $812.83	Professional		$281.84	$363.08	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $120.23	Professional	26	$42.66	$56.23	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $316.23 / $707.95	Professional	TC	$234.42	$316.23	$707.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $53.70 / $93.33	Facility	26	$38.90	$53.70	$93.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $630.96	Professional		$194.98	$363.08	$630.96
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $107.15	Professional	26	$40.74	$61.66	$107.15
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $302.00 / $524.81	Professional	TC	$165.96	$302.00	$524.81