Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $112.57 / $512.29	Facility		$30.31	$112.57	$512.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.21 / $32.42 / $67.34	Facility	26	$26.21	$32.42	$67.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $110.39 / $269.08	Professional		$105.48	$110.39	$269.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $26.21 / $70.97	Professional	26	$24.07	$26.21	$70.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.46 / $55.20 / $59.91	Professional	52	$48.46	$55.20	$59.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $84.17 / $104.09	Professional	TC	$79.54	$84.17	$104.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Facility		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $110.01 / $205.58	Professional		$80.37	$110.01	$205.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $29.05 / $48.82	Professional	26	$19.98	$29.05	$48.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.38 / $81.09 / $156.76	Professional	TC	$60.38	$81.09	$156.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $233.06 / $516.36	Facility		$153.22	$233.06	$516.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $129.24 / $229.20	Professional		$110.75	$129.24	$229.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $34.27 / $342.85	Professional	26	$25.98	$34.27	$342.85
United Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $111.71 / $259.97	Professional		$80.22	$111.71	$259.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $31.56 / $63.12	Professional	26	$20.46	$31.56	$63.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.36 / $81.38 / $196.85	Professional	TC	$55.36	$81.38	$196.85