Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $123.07 / $611.79	Facility		$116.64	$123.07	$611.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.24 / $23.24 / $23.71	Facility	26	$23.24	$23.24	$23.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $129.78 / $135.04	Professional		$116.64	$129.78	$135.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $22.82 / $24.76	Professional	26	$22.22	$22.82	$24.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.41 / $106.95 / $112.49	Professional	TC	$93.41	$106.95	$112.49
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 $102.78 / $171.55 / $227.04	Professional		$102.78	$171.55	$227.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $26.49 / $41.90	Professional	26	$19.91	$26.49	$41.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.43 / $149.31 / $190.94	Professional	TC	$89.43	$149.31	$190.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $575.26	Facility		$293.24	$293.24	$575.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $158.69 / $158.69	Professional		$158.69	$158.69	$158.69
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $23.02 / $23.02	Professional	26	$23.02	$23.02	$23.02
United Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $173.92 / $301.20	Professional		$113.19	$173.92	$301.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.00 / $56.17	Professional	26	$19.50	$27.00	$56.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.99 / $150.33 / $243.94	Professional	TC	$91.99	$150.33	$243.94