Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,756.24 / $4,418.00 / $5,515.92	Facility		$3,756.24	$4,418.00	$5,515.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,431.57 / $2,684.22 / $9,824.87	Facility	50	$1,431.57	$2,684.22	$9,824.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $241.24 / $339.95	Professional		$154.53	$241.24	$339.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $514.95 / $514.95 / $795.57	Professional	50	$514.95	$514.95	$795.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $205.50 / $251.16	Facility		$152.22	$205.50	$251.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $555.26 / $567.58	Professional		$182.66	$555.26	$567.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.99 / $271.99 / $271.99	Facility		$271.99	$271.99	$271.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $335.29 / $753.03	Professional		$182.67	$335.29	$753.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,483.12 / $4,483.12 / $7,609.97	Facility		$4,483.12	$4,483.12	$7,609.97
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,042.00 / $6,210.29 / $8,966.24	Facility	50	$4,042.00	$6,210.29	$8,966.24
United Facility/Professional Professional Modifier Low / Median / High Price $193.07 / $337.88 / $528.29	Professional		$193.07	$337.88	$528.29