Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $144.54 / $309.03	Facility		$30.90	$144.54	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.55 / $20.89	Facility	26	$8.13	$9.55	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $26.30 / $288.40	Facility	TC	$19.05	$26.30	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $39.81 / $104.71	Professional		$21.88	$39.81	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $40.74	Professional	26	$7.08	$11.22	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $50.12	Professional	TC	$15.14	$20.89	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $50.12	Professional		$20.42	$31.62	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.77 / $15.14	Professional	26	$5.89	$9.77	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.44 / $35.48	Professional	TC	$13.18	$23.44	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $194.98 / $323.59	Facility		$39.81	$194.98	$323.59
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $275.42 / $275.42 / $489.78	Facility	TC	$275.42	$275.42	$489.78
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $7.76 / $95.50	Professional	26	$7.59	$7.76	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $63.10	Professional		$21.88	$29.51	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.33 / $17.78	Professional	26	$6.92	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.42 / $43.65	Professional	TC	$14.45	$20.42	$43.65