Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $46.28 / $66.42	Professional		$35.71	$46.28	$66.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $29.58 / $80.26	Professional	26	$22.83	$29.58	$80.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $18.23 / $24.04	Professional	TC	$13.49	$18.23	$24.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $96.00 / $127.50	Professional		$82.80	$96.00	$127.50
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $52.76 / $95.92	Professional		$29.50	$52.76	$95.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $36.27 / $65.37	Professional	26	$16.27	$36.27	$65.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $19.13 / $39.10	Professional	TC	$11.48	$19.13	$39.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $59.23 / $83.43	Professional		$41.46	$59.23	$83.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $35.56 / $49.61	Professional	26	$24.89	$35.56	$49.61
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $26.30 / $43.11	Professional	TC	$16.55	$26.30	$43.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $43.32 / $91.55	Professional		$26.36	$43.32	$91.55
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $32.47 / $52.24	Professional	26	$24.38	$32.47	$52.24
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.74 / $18.27 / $36.97	Professional	TC	$13.74	$18.27	$36.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $45.62 / $79.83	Professional		$25.69	$45.62	$79.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $31.90 / $50.40	Professional	26	$16.12	$31.90	$50.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.48 / $19.48 / $29.98	Professional	TC	$10.48	$19.48	$29.98