Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $4.74 / $6.93	Facility	26	$3.16	$4.74	$6.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $24.68 / $36.65	Professional		$14.27	$24.68	$36.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $4.95 / $7.77	Professional	26	$2.75	$4.95	$7.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $19.69 / $29.22	Professional	TC	$11.52	$19.69	$29.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $2.69 / $2.69	Professional	26	$2.69	$2.69	$2.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $25.12 / $45.11	Professional		$20.10	$25.12	$45.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.12 / $5.15 / $9.11	Professional	26	$4.12	$5.15	$9.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $19.98 / $34.53	Professional	TC	$15.33	$19.98	$34.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $19.47 / $24.74	Professional		$5.26	$19.47	$24.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $32.86 / $69.47	Professional		$17.82	$32.86	$69.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.36 / $6.76 / $13.66	Professional	26	$3.36	$6.76	$13.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $26.04 / $53.74	Professional	TC	$14.61	$26.04	$53.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $20.94 / $34.18	Professional		$17.13	$20.94	$34.18
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.01 / $3.81 / $6.02	Professional	26	$3.01	$3.81	$6.02
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.77 / $17.51 / $28.16	Professional	TC	$13.77	$17.51	$28.16
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2.47 / $2.47 / $2.47	Facility	26	$2.47	$2.47	$2.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.43 / $31.21	Professional		$12.03	$18.43	$31.21
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.38 / $3.57 / $5.60	Professional	26	$2.38	$3.57	$5.60
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.86 / $15.13 / $25.61	Professional	TC	$9.86	$15.13	$25.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $6.38 / $6.38	Professional	26	$6.38	$6.38	$6.38
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.54 / $64.08	Professional		$19.32	$30.54	$64.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $3.78 / $6.25 / $12.55	Professional	26	$3.78	$6.25	$12.55
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $23.71 / $50.44	Professional	TC	$15.75	$23.71	$50.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $24.81 / $52.82	Professional		$16.38	$24.81	$52.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $5.05 / $10.99	Professional	26	$2.82	$5.05	$10.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.85 / $18.78 / $40.89	Professional	TC	$11.85	$18.78	$40.89
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $2.47 / $3.28 / $20.77	Facility	26	$2.47	$3.28	$20.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $18.43 / $37.61	Professional		$13.76	$18.43	$37.61
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $2.47 / $3.57 / $6.75	Professional	26	$2.47	$3.57	$6.75
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $11.29 / $15.13 / $30.87	Professional	TC	$11.29	$15.13	$30.87