Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $97.20 / $389.80	Facility		$42.61	$97.20	$389.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $10.94 / $85.22	Facility	26	$8.09	$10.94	$85.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.01 / $244.30 / $368.83	Facility	TC	$29.01	$244.30	$368.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $35.70 / $89.79	Professional		$28.96	$35.70	$89.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.24 / $21.62	Professional	26	$7.33	$8.24	$21.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $446.60 / $446.60 / $446.60	Professional	50	$446.60	$446.60	$446.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $24.51 / $50.15	Professional	TC	$21.64	$24.51	$50.15
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 $26.70 / $34.68 / $64.97	Professional		$26.70	$34.68	$64.97
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 $15.04 / $25.60 / $49.70	Professional	TC	$15.04	$25.60	$49.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $181.77 / $234.85	Facility		$51.81	$181.77	$234.85
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $349.00 / $349.00 / $349.00	Facility	TC	$349.00	$349.00	$349.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $34.53 / $34.93	Professional		$34.13	$34.53	$34.93
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $12.34 / $70.67	Professional	26	$7.71	$12.34	$70.67
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $26.51 / $27.13	Professional	TC	$26.51	$26.51	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $33.97 / $77.91	Professional		$28.03	$33.97	$77.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.11 / $19.73	Professional	26	$6.61	$9.11	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.97 / $25.56 / $58.18	Professional	TC	$19.97	$25.56	$58.18