Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $16.44 / $450.18	Facility		$12.41	$16.44	$450.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.86 / $9.86 / $18.20	Facility	26	$9.86	$9.86	$18.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $6.57 / $12.16 / $21.00	Facility	TC	$6.57	$12.16	$21.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.82 / $47.13	Professional		$13.58	$17.82	$47.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $16.84 / $50.95	Professional	26	$8.00	$16.84	$50.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.58 / $6.96 / $18.86	Professional	TC	$5.58	$6.96	$18.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Professional		$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $5.84 / $11.40	Professional	26	$5.56	$5.84	$11.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $24.05 / $55.03	Professional		$9.07	$24.05	$55.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.33 / $14.74 / $31.99	Professional	26	$5.33	$14.74	$31.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.74 / $8.94 / $21.83	Professional	TC	$3.74	$8.94	$21.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $11.83 / $17.63	Facility		$4.96	$11.83	$17.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $15.01 / $29.46	Professional		$8.98	$15.01	$29.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $22.30 / $34.44	Facility		$18.51	$22.30	$34.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.16 / $21.16 / $21.16	Facility	26	$21.16	$21.16	$21.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.30 / $13.30 / $13.30	Facility	TC	$13.30	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $23.19 / $59.05	Professional		$10.57	$23.19	$59.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $14.81 / $29.93	Professional	26	$6.63	$14.81	$29.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.96 / $9.33 / $23.72	Professional	TC	$3.96	$9.33	$23.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $21.46 / $39.02	Professional		$15.02	$21.46	$39.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $10.92 / $21.62	Professional	26	$7.42	$10.92	$21.62
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.36 / $8.24 / $14.44	Professional	TC	$5.36	$8.24	$14.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.71 / $43.07	Professional		$16.60	$27.71	$43.07
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $16.16 / $25.12	Professional	26	$10.09	$16.16	$25.12
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.92 / $11.27 / $17.95	Professional	TC	$6.92	$11.27	$17.95
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $11.66 / $11.66	Professional	26	$11.66	$11.66	$11.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $15.16 / $25.49	Professional	26	$12.60	$15.16	$25.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $22.30 / $34.44	Facility		$22.30	$22.30	$34.44
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $21.16 / $21.16 / $21.16	Facility	26	$21.16	$21.16	$21.16
MVP Health Care Facility/Professional Facility Modifier TC Low / Median / High Price $13.30 / $13.30 / $13.30	Facility	TC	$13.30	$13.30	$13.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $20.47 / $56.87	Professional		$9.44	$20.47	$56.87
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $12.68 / $27.10	Professional	26	$6.58	$12.68	$27.10
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $4.23 / $8.09 / $20.58	Professional	TC	$4.23	$8.09	$20.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $14.72 / $37.96	Professional		$10.25	$14.72	$37.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $8.85 / $22.84	Professional	26	$6.54	$8.85	$22.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.49 / $6.40 / $16.04	Professional	TC	$4.49	$6.40	$16.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $27.71 / $55.24	Professional		$18.98	$27.71	$55.24
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $16.16 / $33.08	Professional	26	$11.38	$16.16	$33.08
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $7.60 / $11.52 / $22.16	Professional	TC	$7.60	$11.52	$22.16