Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $99.49 / $399.02	Facility		$37.72	$99.49	$399.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.50 / $39.19	Facility	26	$7.76	$10.50	$39.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.01 / $184.10 / $579.08	Facility	TC	$26.01	$184.10	$579.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $33.72 / $86.66	Professional		$28.64	$33.72	$86.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.90 / $54.40	Professional	26	$7.24	$7.90	$54.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $350.00 / $350.00 / $368.20	Professional	50	$350.00	$350.00	$368.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.20 / $16.86 / $17.44	Professional	52	$14.20	$16.86	$17.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $25.94 / $44.93	Professional	TC	$21.32	$25.94	$44.93
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 $23.45 / $33.19 / $61.42	Professional		$23.45	$33.19	$61.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $8.74 / $14.47	Professional	26	$5.78	$8.74	$14.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $24.48 / $46.74	Professional	TC	$15.04	$24.48	$46.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $160.57 / $410.00	Facility		$47.66	$160.57	$410.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $263.00	Facility	TC	$263.00	$263.00	$263.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $324.23	Professional		$31.81	$31.81	$324.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $10.27 / $148.97	Professional	26	$7.40	$10.27	$148.97
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $24.20 / $24.32	Professional	TC	$24.07	$24.20	$24.32
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $36.77 / $74.38	Professional		$26.22	$36.77	$74.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $8.75 / $18.93	Professional	26	$6.60	$8.75	$18.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $25.06 / $54.20	Professional	TC	$18.80	$25.06	$54.20