Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $922.53 / $1,213.66	Facility		$136.03	$922.53	$1,213.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.58 / $23.35 / $60.03	Facility	26	$22.58	$23.35	$60.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $132.32 / $172.08	Professional		$121.28	$132.32	$172.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $21.20 / $51.29	Professional	26	$20.29	$21.20	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.27 / $109.75 / $140.84	Professional	TC	$102.27	$109.75	$140.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Facility		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $204.08 / $263.22	Professional		$125.24	$204.08	$263.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $25.76 / $41.28	Professional	26	$19.16	$25.76	$41.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.34 / $173.87 / $224.56	Professional	TC	$114.34	$173.87	$224.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $587.49 / $1,264.72	Facility		$293.24	$587.49	$1,264.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $22.37 / $22.62	Professional	26	$22.37	$22.37	$22.62
United Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $210.39 / $369.28	Professional		$124.78	$210.39	$369.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $24.51 / $55.35	Professional	26	$17.82	$24.51	$55.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.57 / $194.24 / $318.39	Professional	TC	$120.57	$194.24	$318.39