Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.64 / $1,899.74 / $4,912.43	Facility		$1,415.64	$1,899.74	$4,912.43
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,799.48 / $3,799.48 / $6,627.00	Facility	50	$3,799.48	$3,799.48	$6,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $302.98 / $515.74	Professional		$163.07	$302.98	$515.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $305.76 / $305.76 / $716.00	Professional	50	$305.76	$305.76	$716.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $196.30 / $213.87	Facility		$176.77	$196.30	$213.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $190.10 / $190.10	Professional		$190.10	$190.10	$190.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $283.45	Facility		$283.45	$283.45	$283.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $327.19 / $784.21	Professional		$190.11	$327.19	$784.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.00 / $4,483.12 / $10,246.51	Facility		$1,506.00	$4,483.12	$10,246.51
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,163.08 / $8,966.24 / $14,387.46	Facility	50	$5,163.08	$8,966.24	$14,387.46
United Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $327.19 / $542.07	Professional		$191.51	$327.19	$542.07