Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $82.27 / $109.30	Professional		$62.48	$82.27	$109.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $52.34 / $109.38	Professional	26	$39.57	$52.34	$109.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.30 / $39.76	Professional	TC	$22.91	$30.30	$39.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $175.95	Professional		$128.00	$128.00	$175.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $93.92 / $165.97	Professional		$49.73	$93.92	$165.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $63.40 / $113.43	Professional	26	$32.52	$63.40	$113.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.01 / $26.19 / $59.62	Professional	TC	$16.01	$26.19	$59.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $95.50 / $134.35	Professional		$66.84	$95.50	$134.35
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.27 / $61.81 / $86.28	Professional	26	$43.27	$61.81	$86.28
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $37.39 / $61.36	Professional	TC	$23.58	$37.39	$61.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $72.08 / $124.37	Professional		$38.21	$72.08	$124.37
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.29 / $58.08 / $104.11	Professional	26	$41.29	$58.08	$104.11
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $25.06 / $50.08	Professional	TC	$18.85	$25.06	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $81.14 / $135.87	Professional		$44.38	$81.14	$135.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.69 / $47.03 / $87.86	Professional	26	$27.69	$47.03	$87.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.42 / $24.09 / $42.71	Professional	TC	$15.42	$24.09	$42.71