Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.37 / $367.54 / $712.52	Facility		$90.37	$367.54	$712.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.52 / $323.52 / $323.52	Facility	50	$323.52	$323.52	$323.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $56.53 / $100.08	Professional		$26.36	$56.53	$100.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $29.83 / $37.58	Facility		$24.86	$29.83	$37.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $114.66 / $175.29	Professional		$75.59	$114.66	$175.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Facility		$45.65	$45.65	$45.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $84.66 / $138.78	Professional		$27.10	$84.66	$138.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.31 / $279.25 / $609.00	Facility		$211.31	$279.25	$609.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $518.41 / $668.15 / $992.97	Facility	50	$518.41	$668.15	$992.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $113.28 / $128.16	Professional		$40.27	$113.28	$128.16
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.22 / $60.22 / $60.22	Professional	50	$60.22	$60.22	$60.22
United Facility/Professional Facility Modifier Low / Median / High Price $442.40 / $442.40 / $442.40	Facility		$442.40	$442.40	$442.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $110.00 / $195.88	Professional		$65.55	$110.00	$195.88