Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $99.75 / $287.00	Facility		$32.72	$99.75	$287.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.12 / $9.63 / $18.29	Facility	26	$7.12	$9.63	$18.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.00 / $93.66 / $574.00	Facility	TC	$21.00	$93.66	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $27.48 / $67.00	Professional		$24.56	$27.48	$67.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.12 / $11.32	Professional	26	$6.65	$7.12	$11.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $368.20 / $368.20 / $368.20	Professional	50	$368.20	$368.20	$368.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.59 / $13.74 / $16.10	Professional	52	$11.59	$13.74	$16.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.28 / $36.25	Professional	TC	$17.89	$20.28	$36.25
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 $20.53 / $28.74 / $50.13	Professional		$20.53	$28.74	$50.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.31 / $8.00 / $13.26	Professional	26	$5.31	$8.00	$13.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $20.80 / $36.67	Professional	TC	$13.02	$20.80	$36.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $49.15 / $216.45	Facility		$39.79	$49.15	$216.45
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $438.09	Facility	TC	$263.00	$263.00	$438.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $26.36 / $26.51	Professional		$26.36	$26.36	$26.51
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $9.55 / $71.15	Professional	26	$6.78	$9.55	$71.15
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.89 / $23.89 / $23.89	Professional	TC	$23.89	$23.89	$23.89
United Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $32.13 / $61.99	Professional		$21.84	$32.13	$61.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.74 / $17.35	Professional	26	$6.03	$8.74	$17.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $20.95 / $44.64	Professional	TC	$16.45	$20.95	$44.64