Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $9.85 / $21.82	Facility	26	$7.25	$9.85	$21.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $36.97 / $94.61	Professional		$25.72	$36.97	$94.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.98 / $37.15 / $47.07	Professional	25	$10.98	$37.15	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.92 / $23.35	Professional	26	$7.36	$8.92	$23.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $28.22 / $46.33	Professional	TC	$17.63	$28.22	$46.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $25.39 / $44.97	Professional		$23.30	$25.39	$44.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $7.64 / $13.19	Professional	26	$7.10	$7.64	$13.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $29.81 / $69.20	Professional		$23.51	$29.81	$69.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.41 / $16.10	Professional	26	$6.77	$8.41	$16.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $20.78 / $49.18	Professional	TC	$16.73	$20.78	$49.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $29.50 / $41.24	Professional		$11.74	$29.50	$41.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $48.37 / $105.16	Professional		$31.31	$48.37	$105.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $11.89 / $25.36	Professional	26	$8.25	$11.89	$25.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $36.36 / $77.29	Professional	TC	$22.67	$36.36	$77.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $37.86 / $60.89	Professional		$29.11	$37.86	$60.89
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.80 / $16.45	Professional	26	$8.31	$10.80	$16.45
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $27.29 / $43.89	Professional	TC	$21.63	$27.29	$43.89
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $7.58 / $7.58	Facility	26	$7.58	$7.58	$7.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $33.47 / $54.64	Professional		$18.82	$33.47	$54.64
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.24 / $8.72 / $17.19	Professional	26	$6.24	$8.72	$17.19
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.76 / $40.24	Professional	TC	$13.18	$23.76	$40.24
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.62 / $32.18	Professional		$27.30	$27.62	$32.18
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $9.52 / $14.18	Professional	26	$9.52	$9.52	$14.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $38.11 / $63.24	Professional		$29.11	$38.11	$63.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.24 / $15.49	Professional	26	$8.77	$10.24	$15.49
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $48.40 / $98.69	Professional		$33.42	$48.40	$98.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $11.38 / $22.77	Professional	26	$8.60	$11.38	$22.77
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $35.42 / $70.06	Professional	TC	$23.88	$35.42	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $39.22 / $81.16	Professional		$27.69	$39.22	$81.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $9.44 / $19.39	Professional	26	$6.96	$9.44	$19.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $28.61 / $59.71	Professional	TC	$18.57	$28.61	$59.71
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $10.06 / $32.08	Facility	26	$7.58	$10.06	$32.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $33.86 / $69.22	Professional		$25.31	$33.86	$69.22
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $10.14 / $20.72	Professional	26	$5.99	$10.14	$20.72
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $23.76 / $48.50	Professional	TC	$17.73	$23.76	$48.50