Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $562.34 / $1,148.15	Facility		$61.66	$562.34	$1,148.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $1,348.96 / $1,995.26	Facility	50	$575.44	$1,348.96	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $120.23	Professional		$36.31	$67.61	$120.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $147.91 / $218.78	Professional	50	$75.86	$147.91	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $63.10	Facility		$37.15	$44.67	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $120.23	Professional		$50.12	$83.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $63.10	Facility		$34.67	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $346.74	Professional		$38.02	$61.66	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $741.31 / $1,348.96	Facility		$194.98	$741.31	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $295.12 / $1,445.44 / $1,737.80	Facility	50	$295.12	$1,445.44	$1,737.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $89.13	Professional		$52.48	$77.62	$89.13
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $120.23 / $134.90	Professional	50	$85.11	$120.23	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $851.14	Facility		$457.09	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $85.11	Professional		$32.36	$53.70	$85.11