Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $173.78 / $398.11	Facility		$35.48	$173.78	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $8.71 / $19.05	Facility	26	$7.41	$8.71	$19.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $40.74 / $398.11	Facility	TC	$23.44	$40.74	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $33.11 / $112.20	Professional		$8.71	$33.11	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $40.74	Professional	26	$7.08	$15.49	$40.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $151.36 / $316.23	Professional	50	$79.43	$151.36	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.70 / $61.66	Professional	TC	$17.38	$25.70	$61.66
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 $21.88 / $31.62 / $52.48	Professional		$21.88	$31.62	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $9.55 / $14.13	Professional	26	$5.50	$9.55	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.99 / $39.81	Professional	TC	$13.18	$23.99	$39.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $177.83 / $229.09	Facility		$48.98	$177.83	$229.09
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	TC	$363.08	$363.08	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $87.10	Professional	26	$7.08	$9.77	$87.10
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $64.57	Professional		$21.88	$31.62	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.51 / $17.78	Professional	26	$6.61	$8.51	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $46.77	Professional	TC	$16.22	$22.91	$46.77