Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $524.81	Facility		$37.15	$95.50	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $12.02 / $44.67	Facility	26	$8.71	$12.02	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $64.57 / $549.54	Facility	TC	$27.54	$64.57	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $38.90 / $120.23	Professional		$9.33	$38.90	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $41.69	Professional	26	$7.94	$12.59	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $102.33 / $331.13	Professional	50	$34.67	$102.33	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $75.86	Professional	TC	$19.05	$29.51	$75.86
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 $23.44 / $34.67 / $57.54	Professional		$23.44	$34.67	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.00 / $16.60	Professional	26	$6.46	$10.00	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $25.12 / $42.66	Professional	TC	$14.79	$25.12	$42.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $177.83 / $407.38	Facility		$48.98	$177.83	$407.38
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	TC	$263.03	$263.03	$263.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $125.89	Professional	26	$8.32	$11.48	$125.89
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $23.99	Professional	TC	$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $70.79	Professional		$25.12	$33.88	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $18.62	Professional	26	$7.59	$10.00	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $52.48	Professional	TC	$18.20	$24.55	$52.48