Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.19 / $6,112.00 / $6,112.00	Facility		$415.19	$6,112.00	$6,112.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,267.28 / $4,066.05 / $5,411.42	Facility	50	$2,267.28	$4,066.05	$5,411.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $276.14 / $460.94	Professional		$232.77	$276.14	$460.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.07 / $99.07 / $389.10	Professional	50	$99.07	$99.07	$389.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.29 / $286.64 / $312.31	Facility		$257.29	$286.64	$312.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.61 / $277.61 / $277.61	Professional		$277.61	$277.61	$277.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.56 / $412.56 / $412.56	Facility		$412.56	$412.56	$412.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.61 / $441.35 / $1,135.01	Professional		$277.61	$441.35	$1,135.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.98 / $7,361.35 / $33,713.96	Facility		$1,854.98	$7,361.35	$33,713.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,165.86 / $24,929.80 / $32,983.53	Facility	50	$3,165.86	$24,929.80	$32,983.53
United Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $402.67 / $661.05	Professional		$247.18	$402.67	$661.05