Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $215.46 / $255.50	Facility		$33.11	$215.46	$255.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.40 / $12.69 / $24.15	Facility	26	$9.40	$12.69	$24.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.66 / $58.23 / $399.00	Facility	TC	$22.66	$58.23	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $30.73 / $55.39	Professional		$28.69	$30.73	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $9.73 / $19.88	Professional	26	$8.75	$9.73	$19.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $21.01 / $35.36	Professional	TC	$19.94	$21.01	$35.36
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 $24.60 / $36.26 / $58.55	Professional		$24.60	$36.26	$58.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $11.64 / $17.50	Professional	26	$7.07	$11.64	$17.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.69 / $40.82	Professional	TC	$16.73	$25.69	$40.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $142.24 / $293.24	Facility		$46.99	$142.24	$293.24
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $529.12 / $529.12 / $529.12	Facility	TC	$529.12	$529.12	$529.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $12.22 / $102.19	Professional	26	$8.84	$12.22	$102.19
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $21.33 / $21.33	Professional	TC	$21.33	$21.33	$21.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $32.83 / $70.70	Professional		$26.15	$32.83	$70.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.64 / $22.89	Professional	26	$8.09	$10.64	$22.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $28.15 / $48.64	Professional	TC	$18.27	$28.15	$48.64