Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.35 / $27.15 / $47.73	Facility	26	$18.35	$27.15	$47.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $45.60 / $89.92	Professional		$27.10	$45.60	$89.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $22.51 / $43.85	Professional	26	$18.35	$22.51	$43.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.74 / $15.52 / $54.79	Professional	TC	$8.74	$15.52	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $35.36 / $101.02	Professional		$28.48	$35.36	$101.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.09 / $45.35	Professional	26	$16.98	$21.09	$45.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.50 / $14.28 / $54.32	Professional	TC	$11.50	$14.28	$54.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $43.35 / $73.70	Professional		$30.37	$43.35	$73.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $61.61 / $184.69	Professional		$37.57	$61.61	$184.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $31.54 / $74.41	Professional	26	$20.69	$31.54	$74.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $35.69 / $107.03	Professional	TC	$13.00	$35.69	$107.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $72.42 / $114.56	Professional		$56.35	$72.42	$114.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $28.84 / $42.96	Professional	26	$22.47	$28.84	$42.96
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $45.26 / $71.59	Professional	TC	$37.10	$45.26	$71.59
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.29 / $19.29 / $19.29	Facility	26	$19.29	$19.29	$19.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $49.66 / $98.44	Professional		$9.67	$49.66	$98.44
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.88 / $26.24 / $41.65	Professional	26	$16.88	$26.24	$41.65
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.80 / $31.13 / $59.92	Professional	TC	$5.80	$31.13	$59.92
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $59.36 / $137.31	Professional		$34.28	$59.36	$137.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $29.76 / $65.56	Professional	26	$21.11	$29.76	$65.56
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $14.54 / $33.58 / $82.13	Professional	TC	$14.54	$33.58	$82.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $52.28 / $118.65	Professional		$35.24	$52.28	$118.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $24.49 / $50.56	Professional	26	$17.91	$24.49	$50.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $30.23 / $64.78	Professional	TC	$17.21	$30.23	$64.78
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.57 / $28.57 / $69.59	Facility	26	$28.57	$28.57	$69.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $73.02 / $134.84	Professional		$43.13	$73.02	$134.84
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $28.57 / $52.76	Professional	26	$18.52	$28.57	$52.76
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $26.25 / $44.44 / $81.61	Professional	TC	$26.25	$44.44	$81.61