Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $226.29 / $430.92	Facility		$32.54	$226.29	$430.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $10.06 / $19.14	Facility	26	$7.45	$10.06	$19.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.67 / $85.55 / $317.12	Facility	TC	$21.67	$85.55	$317.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $28.29 / $68.45	Professional		$25.25	$28.29	$68.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.45 / $11.89	Professional	26	$6.94	$7.45	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.64 / $36.59	Professional	TC	$18.21	$20.64	$36.59
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 / $29.48 / $51.91	Professional		$21.24	$29.48	$51.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $8.72 / $13.87	Professional	26	$5.56	$8.72	$13.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $21.07 / $37.85	Professional	TC	$13.61	$21.07	$37.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $183.96 / $390.00	Facility		$49.15	$183.96	$390.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $263.00	Facility	TC	$263.00	$263.00	$263.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $26.81	Professional		$26.81	$26.81	$26.81
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.84 / $116.51	Professional	26	$7.01	$9.84	$116.51
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $19.80 / $20.27	Professional	TC	$19.80	$19.80	$20.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $33.51 / $65.47	Professional		$22.58	$33.51	$65.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.00 / $18.95	Professional	26	$6.03	$9.00	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $24.51 / $45.42	Professional	TC	$16.80	$24.51	$45.42