Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $60.26 / $85.11	Facility	26	$45.71	$60.26	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $691.83	Professional		$295.12	$354.81	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $309.03 / $616.60	Professional	TC	$251.19	$309.03	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $660.69	Professional		$323.59	$380.19	$660.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $331.13 / $575.44	Professional	TC	$281.84	$331.13	$575.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $436.52 / $501.19	Professional		$64.57	$436.52	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $72.44	Facility	26	$10.72	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,659.59	Professional		$288.40	$549.54	$1,659.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $478.63 / $1,380.38	Professional	TC	$251.19	$478.63	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $562.34 / $724.44	Professional	TC	$389.05	$562.34	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $794.33	Professional		$257.04	$354.81	$794.33
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $316.23 / $691.83	Professional	TC	$223.87	$316.23	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $977.24	Professional		$407.38	$489.78	$977.24
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $426.58 / $851.14	Professional	TC	$354.81	$426.58	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $977.24	Professional		$295.12	$398.11	$977.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $870.96	Professional	TC	$257.04	$354.81	$870.96
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $52.48 / $91.20	Facility	26	$28.84	$52.48	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $912.01	Professional		$263.03	$398.11	$912.01
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $346.74 / $794.33	Professional	TC	$223.87	$346.74	$794.33