Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,079.44 / $4,718.09 / $12,603.52	Facility		$3,079.44	$4,718.09	$12,603.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.60 / $31.60 / $92.25	Facility	53	$31.60	$31.60	$92.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $348.58 / $611.95	Professional		$154.11	$348.58	$611.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.11 / $208.05 / $254.28	Facility		$154.11	$208.05	$254.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $986.99 / $1,030.20	Professional		$184.93	$986.99	$1,030.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $276.39 / $276.39	Facility		$276.39	$276.39	$276.39
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.28 / $55.28 / $55.28	Facility	53	$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $475.61 / $1,699.04	Professional		$184.93	$475.61	$1,699.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,087.48 / $5,521.33 / $7,692.30	Facility		$2,087.48	$5,521.33	$7,692.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.19 / $351.88 / $353.84	Professional		$215.19	$351.88	$353.84
United Facility/Professional Professional Modifier Low / Median / High Price $446.23 / $689.54 / $1,257.39	Professional		$446.23	$689.54	$1,257.39