Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,311.31 / $5,128.61	Facility		$1,202.26	$3,311.31	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $478.63	Professional		$107.15	$204.17	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $186.21	Facility		$112.20	$144.54	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $660.69	Professional		$269.15	$446.68	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $186.21	Facility		$34.67	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	53	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $2,691.53	Professional		$104.71	$295.12	$2,691.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $4,786.30	Facility		$1,174.90	$2,344.23	$4,786.30
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,737.80	Facility		$691.83	$691.83	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $1,023.29	Professional		$97.72	$229.09	$1,023.29