Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $90.02 / $301.52	Facility		$36.11	$90.02	$301.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $11.38 / $21.63	Facility	26	$8.41	$11.38	$21.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.60 / $35.51 / $574.00	Facility	TC	$26.60	$35.51	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $33.50 / $60.75	Professional		$31.25	$33.50	$60.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $10.61 / $13.48	Professional	26	$7.84	$10.61	$13.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $23.41 / $47.26	Professional	TC	$22.87	$23.41	$47.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Facility		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.45 / $64.47	Professional		$25.98	$39.45	$64.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $12.50 / $16.98	Professional	26	$6.73	$12.50	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.89 / $47.92	Professional	TC	$16.98	$26.89	$47.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $63.27 / $236.62	Facility		$51.24	$63.27	$236.62
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $221.71 / $221.71 / $221.71	Facility	TC	$221.71	$221.71	$221.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $47.19 / $47.19	Professional		$47.19	$47.19	$47.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.11 / $74.48	Professional	26	$7.92	$8.11	$74.48
United Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $43.34 / $80.84	Professional		$29.17	$43.34	$80.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $13.55 / $22.91	Professional	26	$8.38	$13.55	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $26.16 / $56.58	Professional	TC	$20.93	$26.16	$56.58