Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.45 / $1,015.20 / $4,418.00	Facility		$687.45	$1,015.20	$4,418.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.12 / $103.53 / $258.33	Facility	52	$68.12	$103.53	$258.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.25 / $41.41 / $103.33	Facility	53	$27.25	$41.41	$103.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $219.03 / $400.22	Professional		$81.97	$219.03	$400.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $155.29 / $201.84	Facility		$129.41	$155.29	$201.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $516.85 / $772.89	Professional		$323.02	$516.85	$772.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $356.11 / $777.47	Professional		$155.29	$356.11	$777.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.79 / $2,258.16 / $5,348.54	Facility		$606.79	$2,258.16	$5,348.54
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $284.39 / $284.39 / $284.39	Facility	52	$284.39	$284.39	$284.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $163.89 / $257.41	Professional		$147.65	$163.89	$257.41
United Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $412.81 / $594.41	Professional		$275.20	$412.81	$594.41