Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $275.42 / $2,454.71	Facility		$85.11	$275.42	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $398.11	Professional		$85.11	$204.17	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Facility		$91.20	$91.20	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $812.83	Professional		$93.33	$245.47	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $45,708.82	Facility		$45,708.82	$45,708.82	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,511.89	Facility		$1,230.27	$1,230.27	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $363.08	Professional		$81.28	$177.83	$363.08