Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $851.14	Professional		$186.21	$331.13	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $107.15 / $436.52	Professional	26	$41.69	$107.15	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $269.15 / $630.96	Professional	TC	$120.23	$269.15	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $776.25	Professional		$165.96	$165.96	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $144.54	Professional	26	$26.92	$26.92	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $660.69	Professional	TC	$141.25	$141.25	$660.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $588.84	Professional		$91.20	$295.12	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $169.82 / $245.47	Facility	26	$36.31	$169.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $1,202.26	Professional		$128.82	$398.11	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $75.86 / $204.17	Professional	26	$33.88	$75.86	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $316.23 / $954.99	Professional	TC	$91.20	$316.23	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $602.56	Professional		$295.12	$371.54	$602.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $89.13	Professional	26	$44.67	$54.95	$89.13
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $316.23 / $512.86	Professional	TC	$245.47	$316.23	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $676.08	Professional		$177.83	$512.86	$676.08
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $123.03	Professional	26	$52.48	$75.86	$123.03
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $380.19 / $645.65	Professional	TC	$112.20	$380.19	$645.65
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $398.11	Professional	26	$79.43	$123.03	$398.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $478.63	Professional		$398.11	$398.11	$478.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $74.13	Professional	26	$61.66	$61.66	$74.13
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $331.13 / $398.11	Professional	TC	$331.13	$331.13	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $588.84	Professional		$169.82	$245.47	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $102.33	Professional	26	$30.90	$42.66	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $213.80 / $489.78	Professional	TC	$138.04	$213.80	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $831.76	Professional		$177.83	$457.09	$831.76
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $134.90	Professional	26	$51.29	$72.44	$134.90
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $354.81 / $691.83	Professional	TC	$112.20	$354.81	$691.83