Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $700.52 / $996.40	Facility		$120.82	$700.52	$996.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $98.74	Professional		$42.71	$68.48	$98.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.06 / $153.06 / $153.06	Professional	50	$153.06	$153.06	$153.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $53.47 / $73.52	Facility		$44.56	$53.47	$73.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $120.82 / $175.08	Professional		$74.59	$120.82	$175.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $79.31	Facility		$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $85.16 / $196.78	Professional		$48.38	$85.16	$196.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.37 / $682.97 / $1,056.34	Facility		$653.37	$682.97	$1,056.34
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $321.11 / $523.94 / $1,365.95	Facility	50	$321.11	$523.94	$1,365.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $104.19 / $190.76	Professional		$101.78	$104.19	$190.76
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.67 / $105.67 / $152.66	Professional	50	$105.67	$105.67	$152.66
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $88.36 / $125.84	Professional		$58.38	$88.36	$125.84