Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $248.44 / $1,600.00	Facility		$114.11	$248.44	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $215.42 / $294.97	Professional		$114.11	$215.42	$294.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $140.46 / $153.04	Facility		$126.51	$140.46	$153.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $136.03 / $136.03	Professional		$136.03	$136.03	$136.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $202.86 / $202.86	Facility		$202.86	$202.86	$202.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $279.14 / $575.39	Professional		$136.03	$279.14	$575.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,254.83 / $4,254.83 / $4,254.83	Facility		$4,254.83	$4,254.83	$4,254.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.85 / $4,834.85 / $4,834.85	Facility		$4,834.85	$4,834.85	$4,834.85
United Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $274.33 / $426.44	Professional		$187.05	$274.33	$426.44