Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,466.84 / $8,912.51	Facility		$239.88	$4,466.84	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $2,691.53 / $9,772.37	Facility	50	$1,445.44	$2,691.53	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $575.44	Professional		$162.18	$275.42	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $794.33 / $1,584.89	Professional	50	$398.11	$794.33	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $275.42	Facility		$165.96	$213.80	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $588.84	Professional		$239.88	$398.11	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,659.59	Facility		$269.15	$269.15	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $1,445.44	Professional		$154.88	$288.40	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,466.84 / $7,585.78	Facility		$2,041.74	$4,466.84	$7,585.78
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $6,456.54 / $23,988.33	Facility	50	$4,073.80	$6,456.54	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,011.87	Facility		$1,230.27	$1,230.27	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $457.09	Professional		$144.54	$263.03	$457.09