Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.88 / $4,182.06 / $30,979.11	Facility		$378.88	$4,182.06	$30,979.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.53 / $43.53 / $105.16	Facility	52	$43.53	$43.53	$105.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.41 / $17.41 / $42.06	Facility	53	$17.41	$17.41	$42.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $154.13 / $234.49	Professional		$83.09	$154.13	$234.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $108.80 / $132.97	Facility		$80.59	$108.80	$132.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $427.99 / $441.98	Professional		$276.89	$427.99	$441.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.24 / $143.24 / $143.24	Facility		$143.24	$143.24	$143.24
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.59 / $114.59 / $114.59	Facility	52	$114.59	$114.59	$114.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.65 / $28.65 / $28.65	Facility	53	$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $258.43 / $502.15	Professional		$112.83	$258.43	$502.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.47 / $4,190.30 / $14,373.99	Facility		$827.47	$4,190.30	$14,373.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $122.68 / $193.71	Professional		$116.83	$122.68	$193.71
United Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $280.24 / $496.51	Professional		$160.13	$280.24	$496.51