Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $210.62 / $826.00	Facility		$107.00	$210.62	$826.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.67 / $45.52 / $86.55	Facility	26	$33.67	$45.52	$86.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $73.04 / $188.43 / $910.70	Facility	TC	$73.04	$188.43	$910.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $119.64 / $322.45	Professional		$107.00	$119.64	$322.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.67 / $33.68 / $103.80	Professional	26	$31.67	$33.68	$103.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.57 / $53.50 / $66.59	Professional	52	$47.57	$53.50	$66.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.23 / $87.95 / $109.64	Professional	TC	$70.23	$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 $84.59 / $133.10 / $199.27	Professional		$84.59	$133.10	$199.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.44 / $38.11 / $62.73	Professional	26	$25.44	$38.11	$62.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.53 / $96.42 / $136.55	Professional	TC	$58.53	$96.42	$136.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.58 / $293.24 / $525.70	Facility		$150.58	$293.24	$525.70
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $238.34 / $524.67 / $541.09	Facility	TC	$238.34	$524.67	$541.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $35.11 / $359.08	Professional	26	$34.21	$35.11	$359.08
United Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $135.16 / $253.40	Professional		$97.63	$135.16	$253.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.91 / $41.28 / $82.03	Professional	26	$28.91	$41.28	$82.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.33 / $91.33 / $174.31	Professional	TC	$66.33	$91.33	$174.31