Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $489.78 / $1,659.59	Facility		$186.21	$489.78	$1,659.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $100.00	Facility	26	$38.90	$38.90	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $446.68	Professional		$165.96	$204.17	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $93.33	Professional	26	$33.88	$44.67	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $162.18 / $309.03	Professional	TC	$131.83	$162.18	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $371.54	Professional		$173.78	$251.19	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $74.13	Professional	26	$32.36	$42.66	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $316.23	Professional	TC	$138.04	$218.78	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,659.59	Facility		$660.69	$660.69	$1,659.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $251.19	Professional		$177.83	$177.83	$251.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $38.90	Professional	26	$37.15	$37.15	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $426.58	Professional		$177.83	$229.09	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $69.18	Professional	26	$27.54	$39.81	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $194.98 / $346.74	Professional	TC	$138.04	$194.98	$346.74