Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.29 / $17.29 / $17.29	Facility	26	$17.29	$17.29	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $26.41 / $70.11	Professional		$18.76	$26.41	$70.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $19.85 / $55.23	Professional	26	$13.98	$19.85	$55.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.62 / $6.54 / $16.38	Professional	TC	$4.62	$6.54	$16.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $30.97 / $75.03	Professional		$12.53	$30.97	$75.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $22.85 / $53.92	Professional	26	$9.36	$22.85	$53.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $8.19 / $20.69	Professional	TC	$3.17	$8.19	$20.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $20.86 / $40.95	Professional		$10.02	$20.86	$40.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $34.22 / $78.34	Professional		$16.47	$34.22	$78.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $25.78 / $54.27	Professional	26	$12.06	$25.78	$54.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.34 / $8.67 / $19.80	Professional	TC	$4.34	$8.67	$19.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $27.90 / $53.09	Professional		$21.76	$27.90	$53.09
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $18.97 / $37.92	Professional	26	$12.96	$18.97	$37.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.53 / $8.36 / $15.16	Professional	TC	$5.53	$8.36	$15.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $40.34 / $62.71	Professional		$24.17	$40.34	$62.71
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $29.14 / $45.30	Professional	26	$18.01	$29.14	$45.30
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.71 / $11.20 / $17.41	Professional	TC	$6.71	$11.20	$17.41
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $29.65 / $29.65	Professional		$29.65	$29.65	$29.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $14.54 / $43.77	Professional	26	$14.38	$14.54	$43.77
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $29.67 / $74.43	Professional		$16.75	$29.67	$74.43
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $22.62 / $47.16	Professional	26	$12.06	$22.62	$47.16
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $4.34 / $8.41 / $17.27	Professional	TC	$4.34	$8.41	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.56 / $52.53	Professional		$15.39	$20.56	$52.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.54 / $39.63	Professional	26	$11.50	$15.54	$39.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $5.26 / $11.33	Professional	TC	$4.08	$5.26	$11.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $40.34 / $79.50	Professional		$27.94	$40.34	$79.50
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $29.14 / $58.03	Professional	26	$19.96	$29.14	$58.03
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $7.98 / $11.20 / $21.46	Professional	TC	$7.98	$11.20	$21.46