Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $148.82 / $193.19	Facility		$147.00	$148.82	$193.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.62 / $81.44 / $105.72	Facility	26	$78.62	$81.44	$105.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $211.53 / $258.51	Professional		$133.65	$211.53	$258.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $69.38 / $120.99	Professional	26	$48.86	$69.38	$120.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.07 / $73.51 / $75.81	Professional	52	$63.07	$73.51	$75.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.14 / $116.53 / $184.12	Professional	TC	$60.14	$116.53	$184.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,783.89 / $4,783.89 / $4,783.89	Facility		$4,783.89	$4,783.89	$4,783.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $256.38 / $590.38	Professional		$117.30	$256.38	$590.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.24 / $66.05 / $146.43	Professional	26	$53.24	$66.05	$146.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.60 / $127.36 / $512.77	Professional	TC	$54.60	$127.36	$512.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.19 / $420.74 / $447.22	Facility		$298.19	$420.74	$447.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.91 / $133.91 / $141.28	Professional	26	$133.91	$133.91	$141.28
United Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $238.01 / $665.27	Professional		$135.53	$238.01	$665.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $78.31 / $193.25	Professional	26	$50.99	$78.31	$193.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.26 / $165.28 / $548.94	Professional	TC	$64.26	$165.28	$548.94