Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $19.50 / $56.23	Facility	26	$12.59	$19.50	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $120.23	Professional		$33.88	$44.67	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $46.77	Professional	26	$12.59	$15.85	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $58.88	Professional	TC	$20.89	$25.70	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $47.86	Professional		$30.90	$38.02	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $26.30 / $26.92	Professional	26	$14.13	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $69.18	Professional		$33.11	$38.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.49 / $25.12	Professional	26	$11.48	$13.49	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $25.12 / $44.67	Professional	TC	$21.38	$25.12	$44.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $54.95	Professional		$20.42	$33.88	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $131.83	Professional		$39.81	$54.95	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.89 / $45.71	Professional	26	$14.45	$20.89	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $83.18	Professional	TC	$25.12	$34.67	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $87.10	Professional		$47.86	$60.26	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $33.11	Professional	26	$15.85	$20.89	$33.11
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $57.54	Professional	TC	$32.36	$42.66	$57.54
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $83.18	Professional		$26.92	$41.69	$83.18
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $30.20	Professional	26	$10.72	$17.38	$30.20
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $52.48	Professional	TC	$16.98	$26.30	$52.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $102.33	Professional		$44.67	$53.70	$102.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $20.42 / $38.02	Professional	26	$16.60	$20.42	$38.02
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.11 / $64.57	Professional	TC	$27.54	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $85.11	Professional		$31.62	$42.66	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $32.36	Professional	26	$11.75	$15.85	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $54.95	Professional	TC	$19.50	$26.92	$54.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $17.78 / $57.54	Facility	26	$11.75	$17.78	$57.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $102.33	Professional		$30.20	$47.86	$102.33
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $38.90	Professional	26	$10.96	$17.78	$38.90
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $63.10	Professional	TC	$19.05	$30.20	$63.10