Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $29.51 / $50.12	Facility	26	$25.12	$29.51	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $181.97	Professional		$30.90	$46.77	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $104.71	Professional	26	$16.98	$23.99	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.20 / $102.33	Professional	TC	$14.13	$18.20	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $102.33	Professional		$24.55	$30.20	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $47.86	Professional	26	$14.13	$17.38	$47.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $45.71 / $147.91	Professional	50	$36.31	$45.71	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $12.88 / $46.77	Professional	TC	$10.23	$12.88	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $54.95	Professional		$23.99	$30.90	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $23.99 / $33.88	Facility	26	$5.13	$23.99	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $83.18 / $269.15	Professional		$30.20	$83.18	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $37.15 / $87.10	Professional	26	$16.60	$37.15	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $38.02 / $199.53	Professional	TC	$14.13	$38.02	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $85.11	Professional		$45.71	$60.26	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $35.48 / $141.25	Professional	26	$24.55	$35.48	$141.25
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $38.02	Professional	TC	$19.95	$28.84	$38.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $97.72	Professional		$26.92	$52.48	$97.72
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $45.71	Professional	26	$18.62	$26.92	$45.71
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $23.44 / $72.44	Professional	TC	$12.30	$23.44	$72.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $102.33	Professional		$44.67	$53.70	$102.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $56.23	Professional	26	$25.12	$30.20	$56.23
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.91 / $46.77	Professional	TC	$19.05	$22.91	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $131.83	Professional		$26.92	$45.71	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.99 / $51.29	Professional	26	$14.45	$23.99	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.95 / $83.18	Professional	TC	$12.02	$19.95	$83.18
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $23.44 / $112.20	Facility	26	$17.38	$23.44	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $123.03	Professional		$31.62	$52.48	$123.03
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.92 / $67.61	Professional	26	$17.38	$26.92	$67.61
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.44 / $72.44	Professional	TC	$13.80	$23.44	$72.44