Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.65 / $114.65 / $1,400.00	Facility		$114.65	$114.65	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $121.96 / $182.93	Professional		$111.90	$121.96	$182.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $133.52 / $166.91	Facility		$111.27	$133.52	$166.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $166.91 / $257.99	Professional		$111.27	$166.91	$257.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $131.69	Facility		$131.69	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $166.90 / $349.18	Professional		$111.89	$166.90	$349.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,915.06 / $9,866.91 / $10,308.29	Facility		$5,915.06	$9,866.91	$10,308.29
United Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $136.88 / $192.30	Professional		$95.22	$136.88	$192.30