Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $410.85 / $465.30	Facility		$66.06	$410.85	$465.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $48.96 / $78.16	Professional		$27.10	$48.96	$78.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.11 / $114.11 / $114.11	Professional	50	$114.11	$114.11	$114.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.14 / $37.68	Facility		$25.12	$30.14	$37.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $84.11 / $130.01	Professional		$55.87	$84.11	$130.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $67.17 / $121.61	Professional		$30.14	$67.17	$121.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $342.20 / $420.26	Facility		$174.00	$342.20	$420.26
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $518.41 / $706.48 / $801.12	Facility	50	$518.41	$706.48	$801.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $87.63 / $93.82	Professional		$82.04	$87.63	$93.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.33 / $53.33 / $138.32	Professional	50	$53.33	$53.33	$138.32
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $60.56 / $89.71	Professional		$40.27	$60.56	$89.71