Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $2,123.46 / $5,233.92	Facility		$423.00	$2,123.46	$5,233.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.85 / $395.67 / $621.83	Facility	54	$375.85	$395.67	$621.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.13 / $597.89 / $1,110.19	Professional		$501.13	$597.89	$1,110.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $608.90 / $663.42	Facility		$548.79	$608.90	$663.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $589.70 / $589.70	Professional		$319.02	$589.70	$589.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $879.98 / $879.98	Facility		$879.98	$879.98	$879.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.58 / $777.28 / $1,504.79	Professional		$511.58	$777.28	$1,504.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.10 / $4,173.10 / $6,760.11	Facility		$1,596.10	$4,173.10	$6,760.11
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $3,744.05 / $3,744.05 / $3,744.05	Facility	54	$3,744.05	$3,744.05	$3,744.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.73 / $819.43 / $1,193.80	Professional		$702.73	$819.43	$1,193.80
United Facility/Professional Professional Modifier Low / Median / High Price $425.26 / $647.17 / $884.22	Professional		$425.26	$647.17	$884.22