Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.66 / $29.66 / $29.66	Facility	26	$29.66	$29.66	$29.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $50.71 / $139.35	Professional		$37.08	$50.71	$139.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.32 / $32.97 / $91.18	Professional	26	$24.32	$32.97	$91.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.40 / $18.10 / $45.82	Professional	TC	$12.40	$18.10	$45.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $62.66 / $161.99	Professional		$24.10	$62.66	$161.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $40.46 / $99.47	Professional	26	$16.27	$40.46	$99.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.40 / $20.25 / $54.95	Professional	TC	$9.40	$20.25	$54.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $40.68 / $79.84	Professional		$26.26	$40.68	$79.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.53 / $54.53 / $54.53	Facility	26	$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $64.91 / $149.29	Professional		$32.15	$64.91	$149.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $44.15 / $91.66	Professional	26	$19.86	$44.15	$91.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.95 / $21.84 / $52.57	Professional	TC	$10.95	$21.84	$52.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $52.15 / $104.54	Professional		$40.86	$52.15	$104.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $32.65 / $65.72	Professional	26	$22.39	$32.65	$65.72
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $18.68 / $33.82	Professional	TC	$12.35	$18.68	$33.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $76.04 / $118.20	Professional		$52.40	$76.04	$118.20
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $50.05 / $77.80	Professional	26	$31.65	$50.05	$77.80
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $25.99 / $40.40	Professional	TC	$17.80	$25.99	$40.40
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.34 / $38.34 / $38.34	Professional	26	$38.34	$38.34	$38.34
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $54.53 / $54.53 / $54.53	Facility	26	$54.53	$54.53	$54.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $54.02 / $144.22	Professional		$32.15	$54.02	$144.22
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $37.29 / $82.15	Professional	26	$19.70	$37.29	$82.15
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $10.21 / $18.76 / $49.51	Professional	TC	$10.21	$18.76	$49.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $39.64 / $94.12	Professional		$27.47	$39.64	$94.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $25.59 / $60.39	Professional	26	$17.71	$25.59	$60.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.72 / $13.15 / $31.55	Professional	TC	$9.72	$13.15	$31.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $76.04 / $152.44	Professional		$52.40	$76.04	$152.44
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $34.59 / $50.05 / $100.57	Professional	26	$34.59	$50.05	$100.57
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $25.99 / $51.87	Professional	TC	$17.80	$25.99	$51.87