Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $64.57	Professional		$18.20	$25.70	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $44.67 / $134.90	Professional	26	$15.14	$44.67	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.03 / $16.22	Professional	TC	$3.98	$6.03	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $70.79	Professional		$12.59	$12.59	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.33 / $51.29	Professional	26	$9.33	$9.33	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $3.16 / $19.05	Professional	TC	$3.16	$3.16	$19.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $40.74	Professional		$10.00	$20.89	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $26.92 / $38.02	Facility	26	$5.75	$26.92	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $35.48 / $93.33	Professional		$16.60	$35.48	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $25.70 / $69.18	Professional	26	$12.02	$25.70	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $9.55 / $25.12	Professional	TC	$4.37	$9.55	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $43.65	Professional		$21.88	$23.99	$43.65
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $30.20	Professional	26	$15.14	$19.05	$30.20
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $8.51 / $13.49	Professional	TC	$6.61	$8.51	$13.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $57.54	Professional		$23.99	$35.48	$57.54
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $41.69	Professional	26	$18.20	$25.70	$41.69
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $10.23 / $16.22	Professional	TC	$6.76	$10.23	$16.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $14.45 / $43.65	Professional	26	$14.45	$14.45	$43.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $25.12	Professional	26	$20.89	$20.89	$25.12
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $8.32 / $10.00	Professional	TC	$7.76	$8.32	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $45.71	Professional		$15.14	$19.50	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $34.67	Professional	26	$10.72	$14.45	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $5.13 / $11.22	Professional	TC	$3.89	$5.13	$11.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $63.10	Professional		$23.99	$32.36	$63.10
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.44 / $45.71	Professional	26	$17.38	$23.44	$45.71
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $8.91 / $17.38	Professional	TC	$6.76	$8.91	$17.38