Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $166.60 / $365.83	Facility		$39.81	$166.60	$365.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $14.01 / $26.65	Facility	26	$10.36	$14.01	$26.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.01 / $184.10 / $383.12	Facility	TC	$29.01	$184.10	$383.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $38.96 / $94.54	Professional		$34.79	$38.96	$94.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $10.37 / $21.87	Professional	26	$9.65	$10.37	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $28.58 / $50.15	Professional	TC	$25.15	$28.58	$50.15
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 $27.31 / $39.86 / $71.05	Professional		$27.31	$39.86	$71.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $12.27 / $19.32	Professional	26	$7.62	$12.27	$19.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $29.30 / $51.48	Professional	TC	$18.98	$29.30	$51.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $178.83 / $293.24	Facility		$60.58	$178.83	$293.24
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $62.40 / $263.00 / $410.00	Facility	TC	$62.40	$263.00	$410.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $13.89 / $95.50	Professional	26	$9.86	$13.89	$95.50
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.81 / $26.81 / $27.13	Professional	TC	$26.81	$26.81	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $44.38 / $85.03	Professional		$31.45	$44.38	$85.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $11.00 / $25.24	Professional	26	$7.81	$11.00	$25.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $31.06 / $60.81	Professional	TC	$22.73	$31.06	$60.81