Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $697.48 / $1,618.15	Facility		$76.51	$697.48	$1,618.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $517.67 / $994.52 / $2,009.72	Facility	50	$517.67	$994.52	$2,009.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.39 / $31.15 / $48.13	Facility	52	$22.39	$31.15	$48.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $83.50 / $137.71	Professional		$45.87	$83.50	$137.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.17 / $128.19 / $206.65	Professional	50	$67.17	$128.19	$206.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $52.12 / $71.66	Facility		$43.43	$52.12	$71.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $96.26 / $139.47	Professional		$58.90	$96.26	$139.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $77.04	Facility		$77.04	$77.04	$77.04
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.63 / $61.63 / $61.63	Facility	52	$61.63	$61.63	$61.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $75.12 / $166.17	Professional		$47.15	$75.12	$166.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.73 / $609.01 / $1,388.68	Facility		$237.73	$609.01	$1,388.68
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $235.02 / $859.50 / $2,012.52	Facility	50	$235.02	$859.50	$2,012.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $95.07 / $103.09	Professional		$67.45	$95.07	$103.09
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.64 / $152.29 / $220.01	Professional	50	$100.64	$152.29	$220.01
United Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $80.23 / $115.26	Professional		$48.41	$80.23	$115.26
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $85.00 / $136.40	Professional	50	$80.00	$85.00	$136.40