Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $183.68 / $2,614.64	Facility		$128.88	$183.68	$2,614.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.82 / $38.82 / $45.99	Facility	26	$38.82	$38.82	$45.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $211.81 / $233.00	Professional		$143.05	$211.81	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $55.46 / $61.49	Professional	26	$38.82	$55.46	$61.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.81 / $155.91 / $171.99	Professional	TC	$105.81	$155.91	$171.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $241.40 / $314.50	Professional		$111.54	$241.40	$314.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $67.33 / $89.30	Professional	26	$33.59	$67.33	$89.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $174.07 / $222.67	Professional	TC	$77.95	$174.07	$222.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.08 / $372.08 / $805.72	Facility		$372.08	$372.08	$805.72
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $39.14 / $39.14	Professional	26	$39.14	$39.14	$39.14
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $68.83 / $68.83 / $68.83	Professional	52	$68.83	$68.83	$68.83
United Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $247.94 / $378.38	Professional		$137.59	$247.94	$378.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $51.28 / $94.65	Professional	26	$34.42	$51.28	$94.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.17 / $193.46 / $283.73	Professional	TC	$103.17	$193.46	$283.73