Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.38 / $3,332.30 / $3,359.56	Facility		$2,093.38	$3,332.30	$3,359.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.87 / $53.87 / $148.66	Facility	52	$53.87	$53.87	$148.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.55 / $21.55 / $59.47	Facility	53	$21.55	$21.55	$59.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $196.68 / $393.51	Professional		$105.49	$196.68	$393.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.84 / $138.83 / $169.69	Facility		$102.84	$138.83	$169.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $625.00 / $651.29	Professional		$123.41	$625.00	$651.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $184.63 / $184.63	Facility		$184.63	$184.63	$184.63
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.69 / $147.69 / $147.69	Facility	52	$147.69	$147.69	$147.69
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.93 / $36.93 / $36.93	Facility	53	$36.93	$36.93	$36.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $316.27 / $927.39	Professional		$123.40	$316.27	$927.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,164.46 / $2,485.23 / $4,746.39	Facility		$1,164.46	$2,485.23	$4,746.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $135.83 / $135.83	Professional		$135.83	$135.83	$135.83
United Facility/Professional Professional Modifier Low / Median / High Price $230.49 / $620.92 / $1,283.25	Professional		$230.49	$620.92	$1,283.25