Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $800.65 / $934.01	Facility		$170.80	$800.65	$934.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.27 / $97.27 / $97.27	Facility	26	$97.27	$97.27	$97.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $103.99 / $253.00	Professional		$59.65	$103.99	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $56.14 / $89.47	Professional	26	$35.51	$56.14	$89.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $47.83 / $163.52	Professional	TC	$26.34	$47.83	$163.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $217.44 / $276.07	Professional		$58.47	$217.44	$276.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $77.91 / $111.13	Professional	26	$32.79	$77.91	$111.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.68 / $142.47 / $191.99	Professional	TC	$25.68	$142.47	$191.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.58 / $333.58 / $841.06	Facility		$333.58	$333.58	$841.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.17 / $36.17 / $36.17	Professional	26	$36.17	$36.17	$36.17
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $27.87 / $27.87	Professional	TC	$27.87	$27.87	$27.87
United Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $154.77 / $257.51	Professional		$56.28	$154.77	$257.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $74.20 / $97.54	Professional	26	$33.77	$74.20	$97.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.69 / $66.48 / $168.08	Professional	TC	$25.69	$66.48	$168.08