Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.72 / $1,016.14 / $3,136.00	Facility		$531.72	$1,016.14	$3,136.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.50 / $92.17 / $201.25	Facility	52	$60.50	$92.17	$201.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.20 / $36.86 / $80.50	Facility	53	$24.20	$36.86	$80.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $256.16 / $352.13	Professional		$119.67	$256.16	$352.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $138.25 / $179.47	Facility		$115.21	$138.25	$179.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $401.42 / $599.89	Professional		$251.56	$401.42	$599.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $206.39 / $206.39	Facility		$206.39	$206.39	$206.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $294.83 / $621.54	Professional		$134.55	$294.83	$621.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $806.48 / $2,599.16 / $4,774.00	Facility		$806.48	$2,599.16	$4,774.00
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $9,194.95 / $9,194.95 / $16,873.80	Facility	52	$9,194.95	$9,194.95	$16,873.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $159.13 / $318.95	Professional		$148.80	$159.13	$318.95
United Facility/Professional Professional Modifier Low / Median / High Price $209.01 / $322.39 / $518.40	Professional		$209.01	$322.39	$518.40