Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $52.48	Professional		$19.95	$25.70	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $27.54	Professional	26	$16.98	$20.89	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $89.13	Professional		$20.42	$25.70	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $47.86	Professional	26	$17.38	$21.38	$47.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $3.98 / $25.12	Professional	TC	$2.88	$3.98	$25.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $30.20 / $36.31	Professional		$6.17	$30.20	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $36.31 / $107.15	Professional		$22.39	$36.31	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $67.61	Professional	26	$18.20	$26.30	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $6.03 / $48.98	Professional	TC	$3.31	$6.03	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $52.48	Professional		$19.50	$34.67	$52.48
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $43.65	Professional	26	$22.91	$28.18	$43.65
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $5.89 / $9.33	Professional	TC	$5.37	$5.89	$9.33
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $45.71	Professional		$17.38	$31.62	$45.71
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $36.31	Professional	26	$14.45	$19.50	$36.31
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $5.62 / $28.84	Professional	TC	$2.95	$5.62	$28.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $28.18	Professional		$26.30	$27.54	$28.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $46.77	Professional		$23.44	$31.62	$46.77
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $34.67	Professional	26	$19.50	$26.30	$34.67
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $5.25 / $7.76	Professional	TC	$3.89	$5.25	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $57.54	Professional		$19.05	$26.30	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.42 / $38.02	Professional	26	$15.14	$20.42	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.57 / $28.18	Professional	TC	$3.39	$4.57	$28.18
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $46.77	Professional		$19.95	$27.54	$46.77
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $38.90	Professional	26	$15.14	$19.05	$38.90
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $5.25 / $28.84	Professional	TC	$3.31	$5.25	$28.84