Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.59 / $26.92	Facility	26	$10.47	$12.59	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $39.81 / $57.54 / $380.19	Facility	TC	$39.81	$57.54	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $52.48 / $169.82	Professional		$14.79	$52.48	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $21.38 / $57.54	Professional	26	$8.91	$21.38	$57.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $125.89 / $416.87	Professional	50	$45.71	$125.89	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $97.72	Professional	TC	$28.18	$40.74	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $77.62	Professional		$30.90	$45.71	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $19.50	Professional	26	$7.59	$12.30	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.11 / $60.26	Professional	TC	$19.05	$33.11	$60.26
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 $10.23 / $20.89 / $173.78	Professional	26	$10.23	$20.89	$173.78
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $33.88	Professional	TC	$33.11	$33.11	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $89.13	Professional		$33.88	$44.67	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $21.88	Professional	26	$8.91	$12.30	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.36 / $63.10	Professional	TC	$24.55	$32.36	$63.10