Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.40 / $44.40 / $44.40	Facility	26	$44.40	$44.40	$44.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $31.22 / $69.06	Professional		$24.08	$31.22	$69.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $23.98 / $34.53	Professional	26	$17.85	$23.98	$34.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $15.39 / $32.97	Professional	52	$12.04	$15.39	$32.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.48 / $32.75	Professional	TC	$2.70	$4.48	$32.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $28.64 / $80.55	Professional		$22.68	$28.64	$80.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.44 / $25.42 / $44.72	Professional	26	$19.44	$25.42	$44.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.54 / $3.22 / $27.24	Professional	TC	$2.54	$3.22	$27.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $35.83 / $41.94	Professional		$6.11	$35.83	$41.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.58 / $27.95 / $27.95	Facility	26	$21.58	$27.95	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $49.75 / $110.41	Professional		$27.13	$49.75	$110.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $28.24 / $76.80	Professional	26	$20.79	$28.24	$76.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.93 / $8.23 / $57.38	Professional	TC	$3.93	$8.23	$57.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $39.22 / $58.70	Professional		$32.74	$39.22	$58.70
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $33.99 / $50.86	Professional	26	$27.83	$33.99	$50.86
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $5.23 / $8.46	Professional	TC	$4.79	$5.23	$8.46
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $35.96 / $50.48	Professional		$23.66	$35.96	$50.48
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $20.23 / $43.16	Professional	26	$15.70	$20.23	$43.16
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $5.91 / $28.01	Professional	TC	$3.43	$5.91	$28.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $31.68 / $35.40	Professional		$31.68	$31.68	$35.40
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $21.58 / $27.95 / $27.95	Facility	26	$21.58	$27.95	$27.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $44.87 / $110.41	Professional		$27.09	$44.87	$110.41
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.86 / $28.55 / $74.89	Professional	26	$20.86	$28.55	$74.89
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $3.70 / $5.68 / $57.38	Professional	TC	$3.70	$5.68	$57.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $30.96 / $65.88	Professional		$24.26	$30.96	$65.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $24.25 / $49.69	Professional	26	$16.89	$24.25	$49.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.50 / $4.57 / $17.60	Professional	TC	$3.50	$4.57	$17.60
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $35.96 / $53.31	Professional		$23.66	$35.96	$53.31
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $23.44 / $45.58	Professional	26	$18.01	$23.44	$45.58
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $5.21 / $26.88	Professional	TC	$3.43	$5.21	$26.88