Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $229.09 / $457.09	Facility		$93.33	$229.09	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $36.31 / $79.43	Facility	26	$30.90	$36.31	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $275.42	Professional		$50.12	$97.72	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $45.71 / $109.65	Professional	26	$28.84	$45.71	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $173.78 / $295.12	Professional	50	$51.29	$173.78	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $52.48 / $117.49	Professional	TC	$44.67	$52.48	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $154.88	Professional		$63.10	$102.33	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $58.88	Professional	26	$23.99	$38.90	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $63.10 / $97.72	Professional	TC	$38.90	$63.10	$97.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $446.68	Facility		$208.93	$389.05	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $316.23	Professional	26	$32.36	$40.74	$316.23
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	50	$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $154.88	Professional		$74.13	$95.50	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $57.54	Professional	26	$26.92	$36.31	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $60.26 / $97.72	Professional	TC	$46.77	$60.26	$97.72