Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.98 / $25.12	Facility	26	$12.02	$16.98	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $93.33	Professional		$36.31	$41.69	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.02 / $26.92	Professional	26	$10.96	$12.02	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $58.88	Professional	TC	$23.99	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $74.13	Professional		$32.36	$38.02	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.48 / $21.38	Professional	26	$9.77	$11.48	$21.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $26.30 / $52.48	Professional	TC	$22.39	$26.30	$52.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $39.81 / $57.54	Professional		$17.78	$39.81	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $144.54	Professional		$42.66	$61.66	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $39.81	Professional	26	$12.30	$17.78	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $43.65 / $102.33	Professional	TC	$30.20	$43.65	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $100.00	Professional		$54.95	$69.18	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.38 / $26.30	Professional	26	$13.80	$17.38	$26.30
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $54.95 / $74.13	Professional	TC	$41.69	$54.95	$74.13
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $11.48	Facility	26	$11.48	$11.48	$11.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $93.33	Professional		$30.90	$54.95	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $25.70	Professional	26	$9.33	$15.14	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $67.61	Professional	TC	$21.88	$39.81	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Professional	26	$15.49	$15.49	$15.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $114.82	Professional		$46.77	$56.23	$114.82
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $17.38 / $32.36	Professional	26	$14.45	$17.38	$32.36
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $39.81 / $83.18	Professional	TC	$32.36	$39.81	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $91.20	Professional		$35.48	$46.77	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.80 / $27.54	Professional	26	$10.00	$13.80	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $64.57	Professional	TC	$24.55	$33.11	$64.57
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $15.14 / $23.99	Facility	26	$8.71	$15.14	$23.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $104.71	Professional		$30.90	$54.95	$104.71
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $30.20	Professional	26	$9.33	$15.14	$30.20
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $72.44	Professional	TC	$21.88	$39.81	$72.44