Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.06 / $895.35 / $3,947.11	Facility		$490.06	$895.35	$3,947.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.86 / $115.17 / $697.14	Facility	52	$75.86	$115.17	$697.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.34 / $46.07 / $278.85	Facility	53	$30.34	$46.07	$278.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $181.28 / $1,172.61	Professional		$73.93	$181.28	$1,172.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $172.75 / $224.14	Facility		$143.96	$172.75	$224.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $880.21 / $1,408.34 / $2,114.34	Professional		$880.21	$1,408.34	$2,114.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $257.77 / $257.77	Facility		$257.77	$257.77	$257.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $446.45 / $2,144.73	Professional		$160.68	$446.45	$2,144.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.26 / $4,372.39 / $8,924.03	Facility		$666.26	$4,372.39	$8,924.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $186.94 / $280.51	Professional		$173.80	$186.94	$280.51
United Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $416.50 / $1,373.20	Professional		$157.91	$416.50	$1,373.20