Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.36 / $8.86 / $16.47	Facility	26	$6.36	$8.86	$16.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $34.50 / $131.21	Professional		$24.83	$34.50	$131.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.61 / $33.45	Professional	26	$6.46	$8.61	$33.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $22.57 / $51.52	Professional	TC	$17.80	$22.57	$51.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Professional		$44.41	$44.41	$44.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $12.68 / $12.68	Professional	26	$12.68	$12.68	$12.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $30.94 / $74.87	Professional		$24.40	$30.94	$74.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $8.26 / $17.84	Professional	26	$6.51	$8.26	$17.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $22.67 / $55.52	Professional	TC	$17.88	$22.67	$55.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $27.21 / $37.47	Professional		$10.26	$27.21	$37.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $46.61 / $97.22	Professional		$26.68	$46.61	$97.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $11.50 / $24.48	Professional	26	$7.12	$11.50	$24.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $36.57 / $73.51	Professional	TC	$19.55	$36.57	$73.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $34.11 / $49.67	Professional		$28.30	$34.11	$49.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $9.44 / $14.37	Professional	26	$7.27	$9.44	$14.37
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $25.10 / $36.79	Professional	TC	$20.34	$25.10	$36.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $36.63 / $60.60	Professional		$21.30	$36.63	$60.60
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $9.81 / $15.03	Professional	26	$5.86	$9.81	$15.03
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.75 / $27.76 / $37.61	Professional	TC	$14.75	$27.76	$37.61
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.13 / $31.13	Professional		$31.13	$31.13	$31.13
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $45.00 / $99.11	Professional		$27.23	$45.00	$99.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $10.46 / $23.09	Professional	26	$7.43	$10.46	$23.09
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $32.59 / $70.27	Professional	TC	$19.69	$32.59	$70.27
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $33.71 / $70.42	Professional		$23.01	$33.71	$70.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $9.15 / $19.38	Professional	26	$6.93	$9.15	$19.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $25.06 / $53.65	Professional	TC	$18.13	$25.06	$53.65
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $9.81 / $9.81 / $30.48	Facility	26	$9.81	$9.81	$30.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $36.58 / $76.50	Professional		$26.98	$36.58	$76.50
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $10.31 / $21.84	Professional	26	$7.04	$10.31	$21.84
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $26.14 / $54.66	Professional	TC	$19.28	$26.14	$54.66