Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $215.46 / $380.10	Facility		$38.04	$215.46	$380.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $10.06 / $19.14	Facility	26	$7.45	$10.06	$19.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.01 / $59.93 / $289.54	Facility	TC	$24.01	$59.93	$289.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $70.97	Professional		$24.92	$30.49	$70.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.45 / $21.62	Professional	26	$6.94	$7.45	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.52 / $35.15	Professional	TC	$17.57	$20.52	$35.15
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 $22.90 / $30.54 / $56.06	Professional		$22.90	$30.54	$56.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $9.08 / $13.87	Professional	26	$5.56	$9.08	$13.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $22.21 / $42.00	Professional	TC	$13.61	$22.21	$42.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.59 / $183.96 / $229.63	Facility		$89.59	$183.96	$229.63
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $365.00 / $365.00 / $365.00	Facility	TC	$365.00	$365.00	$365.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $29.62 / $233.50	Professional		$28.95	$29.62	$233.50
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $9.98 / $83.09	Professional	26	$7.17	$9.98	$83.09
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $22.20 / $22.20	Professional	TC	$22.20	$22.20	$22.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $31.60 / $68.34	Professional		$24.42	$31.60	$68.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $9.86 / $18.14	Professional	26	$6.41	$9.86	$18.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $24.50 / $50.20	Professional	TC	$17.25	$24.50	$50.20