Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,486.00 / $6,486.00 / $9,086.98	Facility		$6,486.00	$6,486.00	$9,086.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $494.74 / $494.74 / $494.74	Facility	52	$494.74	$494.74	$494.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,003.76 / $2,186.75	Professional		$952.00	$1,003.76	$2,186.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.50 / $1,164.56 / $1,268.81	Facility		$1,059.50	$1,164.56	$1,268.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.83 / $1,127.83 / $1,127.83	Professional		$1,127.83	$1,127.83	$1,127.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.74 / $1,155.74 / $1,155.74	Facility		$1,155.74	$1,155.74	$1,155.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $924.59 / $924.59 / $924.59	Facility	52	$924.59	$924.59	$924.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.52 / $1,409.79 / $4,882.51	Professional		$996.52	$1,409.79	$4,882.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,103.36 / $11,287.17 / $32,050.22	Facility		$3,103.36	$11,287.17	$32,050.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.04 / $1,067.17 / $1,594.19	Professional		$751.04	$1,067.17	$1,594.19