Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $81.59 / $322.92	Facility		$34.75	$81.59	$322.92
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 $22.66 / $58.23 / $574.00	Facility	TC	$22.66	$58.23	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.44 / $77.20	Professional		$24.92	$30.44	$77.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.48 / $10.58	Professional	26	$7.03	$7.48	$10.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $368.20 / $368.20 / $368.20	Professional	50	$368.20	$368.20	$368.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.82 / $15.22 / $15.74	Professional	52	$12.82	$15.22	$15.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.28 / $31.50	Professional	TC	$17.89	$20.28	$31.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Facility		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $30.13 / $55.46	Professional		$22.67	$30.13	$55.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.81 / $8.72 / $14.48	Professional	26	$5.81	$8.72	$14.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $21.18 / $40.82	Professional	TC	$13.27	$21.18	$40.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $48.25 / $269.08	Facility		$43.95	$48.25	$269.08
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $217.22 / $217.22 / $547.64	Facility	TC	$217.22	$217.22	$547.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $15.18 / $31.04	Professional	26	$7.40	$15.18	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $31.24 / $67.56	Professional		$22.87	$31.24	$67.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $8.66 / $18.95	Professional	26	$6.72	$8.66	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $23.13 / $49.46	Professional	TC	$17.98	$23.13	$49.46