Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.17 / $15,957.01 / $30,362.00	Facility		$2,215.17	$15,957.01	$30,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $1,494.70 / $3,086.96	Professional		$382.46	$1,494.70	$3,086.96
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $188.29 / $368.15 / $382.46	Professional	AS	$188.29	$368.15	$382.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,384.49 / $1,661.39 / $2,076.73	Facility		$1,384.49	$1,661.39	$2,076.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,384.49 / $2,076.73 / $3,210.01	Professional		$1,384.49	$2,076.73	$3,210.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $1,636.45 / $1,636.45	Facility		$1,636.45	$1,636.45	$1,636.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.63 / $2,117.26 / $4,206.59	Professional		$1,393.63	$2,117.26	$4,206.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,311.94 / $35,265.12 / $77,679.53	Facility		$13,311.94	$35,265.12	$77,679.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,035.73 / $2,153.85 / $3,250.02	Professional		$2,035.73	$2,153.85	$3,250.02
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $306.24 / $306.24 / $306.24	Professional	AS	$306.24	$306.24	$306.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.08 / $1,814.77 / $2,344.16	Professional		$1,172.08	$1,814.77	$2,344.16