Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.90 / $597.08 / $2,402.67	Facility		$133.90	$597.08	$2,402.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.20 / $22.26 / $57.23	Facility	26	$21.20	$22.26	$57.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $187.84 / $253.50	Professional		$129.94	$187.84	$253.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $23.46 / $29.22	Professional	26	$21.17	$23.46	$29.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $60.91 / $66.95 / $89.13	Professional	52	$60.91	$66.95	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.74 / $164.30 / $172.79	Professional	TC	$108.74	$164.30	$172.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.83 / $238.83 / $238.83	Facility		$238.83	$238.83	$238.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $190.98 / $236.69	Professional		$114.75	$190.98	$236.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.22 / $25.45 / $39.36	Professional	26	$18.22	$25.45	$39.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.47 / $170.67 / $203.16	Professional	TC	$100.47	$170.67	$203.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.17 / $663.51 / $2,438.48	Facility		$557.17	$663.51	$2,438.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $178.45 / $178.45	Professional		$178.45	$178.45	$178.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $21.56 / $21.56	Professional	26	$21.56	$21.56	$21.56
United Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $206.36 / $334.85	Professional		$130.69	$206.36	$334.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $26.51 / $55.91	Professional	26	$18.38	$26.51	$55.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $185.35 / $278.94	Professional	TC	$108.87	$185.35	$278.94