Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $190.55 / $407.38	Facility		$39.81	$190.55	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $10.00 / $21.88	Facility	26	$8.32	$10.00	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $47.86 / $537.03	Facility	TC	$25.70	$47.86	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $34.67 / $125.89	Professional		$8.91	$34.67	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.02 / $36.31	Professional	26	$7.76	$12.02	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $169.82 / $323.59	Professional	50	$72.44	$169.82	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $67.61	Professional	TC	$19.50	$25.70	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $64.57	Professional		$22.91	$38.02	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.72 / $15.85	Professional	26	$6.31	$10.72	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.92 / $46.77	Professional	TC	$16.22	$26.92	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $457.09	Facility		$177.83	$213.80	$457.09
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $234.42 / $234.42 / $346.74	Facility	TC	$234.42	$234.42	$346.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $22.39 / $380.19	Professional	26	$7.94	$22.39	$380.19
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	TC	$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $77.62	Professional		$26.92	$35.48	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $20.42	Professional	26	$7.24	$9.55	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $56.23	Professional	TC	$19.50	$26.30	$56.23