Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.11 / $30.43 / $44.40	Facility	26	$10.11	$30.43	$44.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $11.37 / $37.53	Professional	26	$8.85	$11.37	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $16.53 / $60.13	Professional	TC	$13.83	$16.53	$60.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.52 / $24.57 / $33.20	Professional	26	$20.52	$24.57	$33.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $39.04 / $52.76	Professional	TC	$32.44	$39.04	$52.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $37.50 / $86.04	Professional	26	$24.14	$37.50	$86.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.83 / $60.99 / $134.00	Professional	TC	$38.83	$60.99	$134.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $35.29 / $51.18	Professional	26	$26.94	$35.29	$51.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.76 / $52.62 / $80.59	Professional	TC	$41.76	$52.62	$80.59
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.13 / $23.13 / $23.13	Facility	26	$23.13	$23.13	$23.13
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $36.01 / $52.48	Professional	26	$20.23	$36.01	$52.48
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $51.03 / $75.06	Professional	TC	$28.94	$51.03	$75.06
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $35.90 / $78.22	Professional	26	$25.43	$35.90	$78.22
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $38.83 / $54.27 / $125.47	Professional	TC	$38.83	$54.27	$125.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $24.29 / $43.95	Professional	26	$18.97	$24.29	$43.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $34.40 / $67.65	Professional	TC	$29.18	$34.40	$67.65
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $23.13 / $34.25 / $34.25	Facility	26	$23.13	$34.25	$34.25
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $34.25 / $62.88	Professional	26	$20.23	$34.25	$62.88
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $48.99 / $89.96	Professional	TC	$28.94	$48.99	$89.96