Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $42.83 / $237.44	Facility		$42.83	$42.83	$237.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.16 / $24.16 / $24.16	Facility	26	$24.16	$24.16	$24.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $45.32 / $134.12	Professional		$31.48	$45.32	$134.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.28 / $31.88 / $178.60	Professional	26	$19.28	$31.88	$178.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $18.25 / $46.85	Professional	TC	$9.88	$18.25	$46.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $28.16 / $28.16	Professional	26	$28.16	$28.16	$28.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $55.84 / $131.22	Professional		$21.74	$55.84	$131.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $36.09 / $79.45	Professional	26	$13.10	$36.09	$79.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $18.86 / $51.28	Professional	TC	$8.64	$18.86	$51.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $32.84 / $43.72	Facility		$13.75	$32.84	$43.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $39.00 / $76.56	Professional		$22.27	$39.00	$76.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $59.77 / $84.92	Facility		$49.61	$59.77	$84.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.70 / $45.70 / $45.70	Facility	26	$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $54.14 / $142.50	Professional		$23.57	$54.14	$142.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $36.25 / $74.79	Professional	26	$16.28	$36.25	$74.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.72 / $18.47 / $55.13	Professional	TC	$6.72	$18.47	$55.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $52.12 / $104.00	Professional		$40.34	$52.12	$104.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $26.73 / $53.62	Professional	26	$18.30	$26.73	$53.62
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $24.35 / $43.61	Professional	TC	$16.00	$24.35	$43.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $74.26 / $115.43	Professional		$44.50	$74.26	$115.43
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $40.75 / $63.35	Professional	26	$25.10	$40.75	$63.35
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $33.51 / $52.08	Professional	TC	$20.07	$33.51	$52.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $33.32 / $64.01	Professional	26	$31.28	$33.32	$64.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $59.77 / $84.92	Facility		$59.77	$59.77	$84.92
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $45.70 / $45.70 / $45.70	Facility	26	$45.70	$45.70	$45.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $53.05 / $131.37	Professional		$24.96	$53.05	$131.37
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $31.84 / $65.76	Professional	26	$16.28	$31.84	$65.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $7.17 / $22.05 / $50.76	Professional	TC	$7.17	$22.05	$50.76
United Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $38.26 / $96.69	Professional		$26.41	$38.26	$96.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $21.75 / $56.44	Professional	26	$16.10	$21.75	$56.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $16.64 / $34.54	Professional	TC	$11.35	$16.64	$34.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $74.26 / $148.03	Professional		$51.18	$74.26	$148.03
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $40.75 / $82.05	Professional	26	$28.22	$40.75	$82.05
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $33.51 / $65.98	Professional	TC	$22.95	$33.51	$65.98