Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $93.33 / $616.60	Facility		$28.84	$93.33	$616.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.55 / $21.88	Facility	26	$8.32	$9.55	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.60 / $42.66 / $457.09	Facility	TC	$16.60	$42.66	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $79.43	Professional		$17.78	$26.92	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $33.11	Professional	26	$7.94	$10.00	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $15.85 / $44.67	Professional	TC	$9.77	$15.85	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $42.66	Professional		$13.80	$24.55	$42.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.23 / $15.85	Professional	26	$6.31	$10.23	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $13.80 / $28.84	Professional	TC	$7.59	$13.80	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $109.65	Facility		$37.15	$37.15	$109.65
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $269.15 / $269.15 / $446.68	Facility	TC	$269.15	$269.15	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $77.62	Professional	26	$7.59	$10.96	$77.62
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $15.85 / $16.22	Professional	TC	$15.85	$15.85	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $48.98	Professional		$17.38	$24.55	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $20.42	Professional	26	$7.24	$9.55	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $14.45 / $27.54	Professional	TC	$10.23	$14.45	$27.54