Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.90 / $2,109.13 / $2,882.04	Facility		$1,812.90	$2,109.13	$2,882.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,600.75 / $3,600.75 / $4,418.00	Facility	50	$3,600.75	$3,600.75	$4,418.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $156.69 / $199.53	Professional		$101.60	$156.69	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.84 / $76.84 / $170.04	Professional	50	$76.84	$76.84	$170.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.36 / $187.28 / $204.05	Facility		$168.36	$187.28	$204.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $181.38 / $181.38	Professional		$181.38	$181.38	$181.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $180.12 / $180.12	Facility		$180.12	$180.12	$180.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $228.47 / $973.20	Professional		$154.87	$228.47	$973.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.58 / $1,367.07 / $6,096.05	Facility		$1,340.58	$1,367.07	$6,096.05
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,825.97 / $2,305.04 / $9,438.31	Facility	50	$1,825.97	$2,305.04	$9,438.31
United Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $198.38 / $293.52	Professional		$126.55	$198.38	$293.52