Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $296.86 / $826.00	Facility		$66.48	$296.86	$826.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.92 / $49.91 / $94.91	Facility	26	$36.92	$49.91	$94.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $122.62 / $342.32	Professional		$115.51	$122.62	$342.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $36.92 / $51.61	Professional	26	$34.67	$36.92	$51.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.39 / $87.95 / $109.64	Professional	TC	$77.39	$87.95	$109.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $62.22 / $193.48	Facility		$62.22	$62.22	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $143.65 / $215.13	Professional		$88.50	$143.65	$215.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.81 / $41.78 / $68.78	Professional	26	$27.81	$41.78	$68.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.00 / $98.03 / $146.35	Professional	TC	$62.00	$98.03	$146.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $293.24 / $481.77	Facility		$161.69	$293.24	$481.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $114.79 / $148.02	Professional		$114.79	$114.79	$148.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $38.49 / $392.51	Professional	26	$37.17	$38.49	$392.51
United Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $133.59 / $275.63	Professional		$101.94	$133.59	$275.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.33 / $42.31 / $93.09	Professional	26	$32.33	$42.31	$93.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.87 / $94.04 / $184.11	Professional	TC	$68.87	$94.04	$184.11