Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $184.74 / $519.40	Facility		$47.16	$184.74	$519.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $10.94 / $20.81	Facility	26	$8.09	$10.94	$20.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.02 / $265.19 / $574.00	Facility	TC	$33.02	$265.19	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $39.96 / $80.95	Professional		$33.00	$39.96	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.13 / $24.00	Professional	26	$7.53	$8.13	$24.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $350.00 / $350.00 / $350.00	Professional	50	$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $28.75 / $47.99	Professional	TC	$25.37	$28.75	$47.99
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 $27.89 / $37.11 / $72.67	Professional		$27.89	$37.11	$72.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.08 / $15.08	Professional	26	$6.03	$9.08	$15.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $27.98 / $57.40	Professional	TC	$17.32	$27.98	$57.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $199.21 / $438.09	Facility		$72.91	$199.21	$438.09
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 26 Low / Median / High Price $7.71 / $10.85 / $106.01	Professional	26	$7.71	$10.85	$106.01
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.17 / $30.52 / $30.87	Professional	TC	$30.17	$30.52	$30.87
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $38.65 / $86.67	Professional		$28.03	$38.65	$86.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.11 / $19.73	Professional	26	$6.60	$9.11	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $35.69 / $66.94	Professional	TC	$22.78	$35.69	$66.94