Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $651.79 / $1,943.04	Facility		$197.47	$651.79	$1,943.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $34.03 / $87.45	Facility	26	$32.36	$34.03	$87.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $152.46 / $420.06 / $1,943.04	Facility	TC	$152.46	$420.06	$1,943.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $205.65 / $577.40	Professional		$184.82	$205.65	$577.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.70 / $89.29	Professional	26	$32.36	$35.70	$89.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.46 / $169.96 / $207.89	Professional	TC	$152.46	$169.96	$207.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.28 / $402.28 / $402.28	Facility		$402.28	$402.28	$402.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $264.77 / $345.49	Professional		$162.82	$264.77	$345.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $39.15 / $60.15	Professional	26	$27.57	$39.15	$60.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.60 / $222.21 / $285.95	Professional	TC	$146.60	$222.21	$285.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.54 / $949.19 / $1,815.73	Facility		$666.54	$949.19	$1,815.73
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $1,234.31 / $1,244.77 / $1,314.07	Facility	TC	$1,234.31	$1,244.77	$1,314.07
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $32.40 / $481.80	Professional	26	$31.90	$32.40	$481.80
United Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $283.17 / $462.44	Professional		$186.61	$283.17	$462.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $39.32 / $78.63	Professional	26	$27.38	$39.32	$78.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.53 / $243.85 / $402.31	Professional	TC	$150.53	$243.85	$402.31