Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.19 / $2,957.24 / $5,572.32	Facility		$331.19	$2,957.24	$5,572.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.71 / $132.63 / $268.70	Facility	52	$87.71	$132.63	$268.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.08 / $53.06 / $107.48	Facility	53	$35.08	$53.06	$107.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $364.43 / $437.95	Professional		$172.52	$364.43	$437.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.98 / $205.44 / $223.83	Facility		$184.98	$205.44	$223.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.96 / $198.96 / $381.51	Professional		$198.96	$198.96	$381.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.61 / $296.61 / $296.61	Facility		$296.61	$296.61	$296.61
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.16 / $360.25 / $815.40	Professional		$185.16	$360.25	$815.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.88 / $2,684.36 / $5,133.64	Facility		$1,273.88	$2,684.36	$5,133.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $223.24 / $333.55	Professional		$191.20	$223.24	$333.55
United Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $301.50 / $487.65	Professional		$187.76	$301.50	$487.65