Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $136.50 / $310.00	Facility		$41.66	$136.50	$310.00
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 $23.98 / $31.60 / $310.00	Facility	TC	$23.98	$31.60	$310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $29.21 / $53.93	Professional		$25.55	$29.21	$53.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.45 / $10.42	Professional	26	$6.94	$7.45	$10.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.23 / $15.72 / $16.26	Professional	52	$13.23	$15.72	$16.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $21.10 / $32.61	Professional	TC	$18.53	$21.10	$32.61
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 $23.61 / $30.23 / $57.24	Professional		$23.61	$30.23	$57.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $8.72 / $13.87	Professional	26	$5.56	$8.72	$13.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.05 / $21.61 / $43.19	Professional	TC	$14.05	$21.61	$43.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $142.06 / $216.45	Facility		$52.43	$142.06	$216.45
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $216.00 / $216.00 / $303.00	Facility	TC	$216.00	$216.00	$303.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $29.94 / $38.53	Professional		$29.94	$29.94	$38.53
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.69 / $19.37	Professional	26	$7.01	$9.69	$19.37
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $376.27 / $376.27 / $376.27	Professional	50	$376.27	$376.27	$376.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $32.11 / $70.75	Professional		$21.62	$32.11	$70.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $9.00 / $18.95	Professional	26	$6.23	$9.00	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.47 / $23.13 / $52.69	Professional	TC	$17.47	$23.13	$52.69