Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $184.10 / $370.18	Facility		$34.47	$184.10	$370.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.78 / $10.50 / $19.98	Facility	26	$7.78	$10.50	$19.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.69 / $53.17 / $287.00	Facility	TC	$20.69	$53.17	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $28.47 / $49.30	Professional		$25.43	$28.47	$49.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.72 / $19.98	Professional	26	$6.74	$7.72	$19.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $20.69 / $28.13	Professional	TC	$18.20	$20.69	$28.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $29.86 / $51.91	Professional		$21.24	$29.86	$51.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.81 / $8.36 / $14.48	Professional	26	$5.81	$8.36	$14.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $21.51 / $37.26	Professional	TC	$13.61	$21.51	$37.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $177.57 / $228.35	Facility		$40.72	$177.57	$228.35
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $218.39 / $218.39 / $453.43	Facility	TC	$218.39	$218.39	$453.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $10.11 / $10.40	Professional	26	$7.31	$10.11	$10.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $31.22 / $63.65	Professional		$22.58	$31.22	$63.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $8.61 / $18.95	Professional	26	$5.98	$8.61	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $23.07 / $44.62	Professional	TC	$16.64	$23.07	$44.62