Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $97.91 / $619.50	Facility		$29.33	$97.91	$619.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $11.38 / $142.69	Facility	26	$8.41	$11.38	$142.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.32 / $182.70 / $310.00	Facility	TC	$17.32	$182.70	$310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.31 / $43.36	Professional		$17.78	$21.31	$43.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.33 / $50.40	Professional	26	$8.08	$9.33	$50.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $13.91 / $18.00	Professional	TC	$9.69	$13.91	$18.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.59 / $46.05	Professional		$17.78	$22.59	$46.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.28 / $10.18 / $15.69	Professional	26	$6.28	$10.18	$15.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.64 / $13.47 / $29.74	Professional	TC	$7.64	$13.47	$29.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $105.65 / $434.49	Facility		$37.03	$105.65	$434.49
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $267.89 / $267.89 / $267.89	Facility	TC	$267.89	$267.89	$267.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $25.68	Professional		$25.68	$25.68	$25.68
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $10.96 / $73.54	Professional	26	$7.62	$10.96	$73.54
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.84 / $15.84 / $15.84	Professional	TC	$15.84	$15.84	$15.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $25.98 / $58.15	Professional		$18.45	$25.98	$58.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $10.71 / $20.51	Professional	26	$7.17	$10.71	$20.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.36 / $14.00 / $36.65	Professional	TC	$10.36	$14.00	$36.65