Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.59 / $764.59 / $3,986.48	Professional		$764.59	$764.59	$3,986.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.24 / $592.12 / $645.12	Facility		$515.24	$592.12	$645.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.44 / $573.44 / $573.44	Professional		$573.44	$573.44	$573.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,680.24 / $40,744.26 / $90,855.59	Facility		$30,680.24	$40,744.26	$90,855.59
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $41,406.37 / $41,406.37 / $121,144.40	Facility	50	$41,406.37	$41,406.37	$121,144.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.88 / $740.10 / $808.90	Professional		$691.88	$740.10	$808.90
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,213.34 / $1,213.34 / $1,213.34	Professional	50	$1,213.34	$1,213.34	$1,213.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,814.36 / $5,251.69 / $9,276.42	Professional		$2,814.36	$5,251.69	$9,276.42