Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $189.11 / $355.64	Facility		$43.50	$189.11	$355.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $10.94 / $20.81	Facility	26	$8.09	$10.94	$20.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.01 / $71.78 / $542.64	Facility	TC	$28.01	$71.78	$542.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $36.03 / $77.90	Professional		$29.28	$36.03	$77.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.10 / $50.40	Professional	26	$7.33	$8.10	$50.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $519.40 / $519.40 / $519.40	Professional	50	$519.40	$519.40	$519.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $18.02 / $18.63	Professional	52	$15.15	$18.02	$18.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $46.85	Professional	TC	$21.94	$27.35	$46.85
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 $26.70 / $35.42 / $65.56	Professional		$26.70	$35.42	$65.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.08 / $15.08	Professional	26	$6.03	$9.08	$15.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $26.34 / $50.29	Professional	TC	$15.04	$26.34	$50.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $186.79 / $219.00	Facility		$62.33	$186.79	$219.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $390.00 / $390.00 / $390.00	Facility	TC	$390.00	$390.00	$390.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.99 / $224.43	Professional		$33.52	$33.99	$224.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $10.53 / $78.31	Professional	26	$7.71	$10.53	$78.31
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $25.90 / $25.90	Professional	TC	$25.90	$25.90	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $34.92 / $77.91	Professional		$26.47	$34.92	$77.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.86 / $19.73	Professional	26	$6.61	$9.86	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $24.96 / $58.18	Professional	TC	$20.71	$24.96	$58.18