Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $398.11 / $891.25	Facility		$169.82	$398.11	$891.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $234.42	Professional		$34.67	$97.72	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $61.66 / $120.23	Professional	26	$33.11	$61.66	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $45.71 / $147.91	Professional	TC	$22.91	$45.71	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $208.93 / $275.42	Professional		$58.88	$208.93	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $77.62 / $134.90	Professional	26	$33.11	$77.62	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $141.25 / $190.55	Professional	TC	$25.70	$141.25	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $891.25	Facility		$331.13	$331.13	$891.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $309.03	Professional		$60.26	$181.97	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $79.43 / $112.20	Professional	26	$33.88	$79.43	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $117.49 / $199.53	Professional	TC	$25.70	$117.49	$199.53