Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $100.00 / $426.58	Facility		$46.77	$100.00	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $10.72 / $22.39	Facility	26	$8.71	$10.72	$22.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $79.43 / $575.44	Facility	TC	$33.88	$79.43	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $46.77 / $144.54	Professional		$9.77	$46.77	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $18.62 / $50.12	Professional	26	$7.94	$18.62	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.70 / $97.72 / $389.05	Professional	50	$25.70	$97.72	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $95.50	Professional	TC	$24.55	$36.31	$95.50
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 $27.54 / $39.81 / $67.61	Professional		$27.54	$39.81	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.23 / $16.60	Professional	26	$6.46	$10.23	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $29.51 / $52.48	Professional	TC	$16.98	$29.51	$52.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $199.53 / $245.47	Facility		$57.54	$199.53	$245.47
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	TC	$263.03	$263.03	$263.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $208.93	Professional	26	$8.32	$12.59	$208.93
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $77.62	Professional		$28.84	$38.90	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $18.62	Professional	26	$7.59	$10.23	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $57.54	Professional	TC	$22.39	$29.51	$57.54