Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $184.10 / $411.44	Facility		$46.03	$184.10	$411.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.75 / $11.81 / $22.48	Facility	26	$8.75	$11.81	$22.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.68 / $273.75 / $574.00	Facility	TC	$31.68	$273.75	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $39.97 / $94.60	Professional		$33.00	$39.97	$94.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.75 / $50.40	Professional	26	$8.13	$8.75	$50.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.20 / $368.20 / $574.00	Professional	50	$333.20	$368.20	$574.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.80 / $19.98 / $20.67	Professional	52	$16.80	$19.98	$20.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $27.69 / $48.66	Professional	TC	$24.44	$27.69	$48.66
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 $29.30 / $39.39 / $72.70	Professional		$29.30	$39.39	$72.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $10.23 / $16.30	Professional	26	$6.50	$10.23	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $28.95 / $56.22	Professional	TC	$17.07	$28.95	$56.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.97 / $197.25 / $242.80	Facility		$196.97	$197.25	$242.80
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $410.00	Facility	TC	$263.00	$263.00	$410.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $37.47 / $46.30	Professional		$37.47	$37.47	$46.30
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $16.46 / $207.00	Professional	26	$8.33	$16.46	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $38.42 / $87.47	Professional		$27.21	$38.42	$87.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $10.25 / $21.31	Professional	26	$7.31	$10.25	$21.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $29.06 / $66.16	Professional	TC	$22.44	$29.06	$66.16