Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $787.72 / $2,631.06	Facility		$58.72	$787.72	$2,631.06
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $87.82 / $483.47 / $1,472.04	Facility	50	$87.82	$483.47	$1,472.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $94.64 / $135.44	Professional		$57.68	$94.64	$135.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.05 / $167.46 / $308.95	Professional	50	$85.05	$167.46	$308.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $68.04 / $85.05	Facility		$56.70	$68.04	$85.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $135.66 / $209.70	Professional		$89.10	$135.66	$209.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Facility		$100.78	$100.78	$100.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $108.53 / $252.80	Professional		$62.52	$108.53	$252.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.25 / $919.50 / $1,254.98	Facility		$590.25	$919.50	$1,254.98
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $321.11 / $1,536.57 / $1,993.79	Facility	50	$321.11	$1,536.57	$1,993.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $138.01 / $162.25	Professional		$91.17	$138.01	$162.25
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.94 / $197.55 / $212.55	Professional	50	$130.94	$197.55	$212.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $113.48 / $160.76	Professional		$72.31	$113.48	$160.76