Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $28.37 / $39.22	Facility	26	$18.04	$28.37	$39.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $53.65 / $100.10	Professional		$32.76	$53.65	$100.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $23.36 / $48.86	Professional	26	$18.03	$23.36	$48.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $24.94 / $61.17	Professional	TC	$14.15	$24.94	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $39.02 / $108.23	Professional		$29.85	$39.02	$108.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $21.18 / $45.73	Professional	26	$16.70	$21.18	$45.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.14 / $17.18 / $63.38	Professional	TC	$13.14	$17.18	$63.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.64 / $77.16	Professional		$29.51	$47.64	$77.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $69.76 / $195.52	Professional		$45.76	$69.76	$195.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $33.38 / $75.75	Professional	26	$20.32	$33.38	$75.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $40.25 / $117.48	Professional	TC	$21.42	$40.25	$117.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $76.88 / $121.63	Professional		$63.02	$76.88	$121.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $28.86 / $41.77	Professional	26	$22.19	$28.86	$41.77
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.37 / $50.47 / $79.84	Professional	TC	$41.37	$50.47	$79.84
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $52.09 / $104.09	Professional		$13.03	$52.09	$104.09
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $23.99 / $41.14	Professional	26	$17.77	$23.99	$41.14
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.82 / $32.70 / $66.05	Professional	TC	$7.82	$32.70	$66.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $92.76	Professional		$92.76	$92.76	$92.76
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $66.59 / $157.53	Professional		$40.45	$66.59	$157.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $20.91 / $29.87 / $64.25	Professional	26	$20.91	$29.87	$64.25
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $38.21 / $92.35	Professional	TC	$22.82	$38.21	$92.35
United Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $55.55 / $122.81	Professional		$42.19	$55.55	$122.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $23.83 / $51.22	Professional	26	$17.79	$23.83	$51.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $32.52 / $68.04	Professional	TC	$22.13	$32.52	$68.04
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.22 / $28.22 / $68.48	Facility	26	$28.22	$28.22	$68.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $77.20 / $142.59	Professional		$45.61	$77.20	$142.59
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.22 / $52.12	Professional	26	$19.05	$28.22	$52.12
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $48.99 / $89.96	Professional	TC	$28.94	$48.99	$89.96