Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $327.18 / $910.70	Facility		$86.35	$327.18	$910.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.17 / $36.34 / $69.84	Facility	26	$27.17	$36.34	$69.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $59.17 / $152.06 / $546.70	Facility	TC	$59.17	$152.06	$546.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $96.70 / $256.19	Professional		$86.35	$96.70	$256.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $29.46 / $102.17	Professional	26	$25.26	$29.46	$102.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.05 / $71.45 / $89.07	Professional	TC	$59.05	$71.45	$89.07
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 $66.30 / $105.96 / $160.83	Professional		$66.30	$105.96	$160.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $30.14 / $50.63	Professional	26	$20.69	$30.14	$50.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.27 / $73.84 / $110.20	Professional	TC	$47.27	$73.84	$110.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.92 / $367.95 / $525.70	Facility		$120.92	$367.95	$525.70
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $524.67 / $524.67 / $547.64	Facility	TC	$524.67	$524.67	$547.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $87.79 / $119.54	Professional		$87.79	$87.79	$119.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.97 / $35.29 / $47.14	Professional	26	$26.97	$35.29	$47.14
United Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $121.22 / $204.14	Professional		$77.06	$121.22	$204.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.54 / $33.21 / $66.59	Professional	26	$23.54	$33.21	$66.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.38 / $73.73 / $140.65	Professional	TC	$53.38	$73.73	$140.65