Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.60 / $1,752.63 / $4,700.00	Facility		$883.60	$1,752.63	$4,700.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.44 / $996.44 / $2,142.42	Facility	52	$91.44	$996.44	$2,142.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.43 / $908.04 / $908.04	Facility	53	$91.43	$908.04	$908.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $330.42 / $406.92	Professional		$180.17	$330.42	$406.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.81 / $90.24 / $194.15	Professional	53	$38.81	$90.24	$194.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $169.99 / $260.85	Facility		$23.73	$169.99	$260.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $227.99 / $703.79	Professional		$45.60	$227.99	$703.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.83 / $310.83 / $310.83	Facility		$310.83	$310.83	$310.83
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.66 / $248.66 / $248.66	Facility	52	$248.66	$248.66	$248.66
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.17 / $62.17 / $62.17	Facility	53	$62.17	$62.17	$62.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $360.18 / $854.39	Professional		$199.34	$360.18	$854.39
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $68.08 / $143.90 / $336.15	Professional	53	$68.08	$143.90	$336.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.29 / $2,164.23 / $4,843.54	Facility		$944.29	$2,164.23	$4,843.54
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $4,088.97 / $4,088.97 / $4,088.97	Facility	53	$4,088.97	$4,088.97	$4,088.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.89 / $236.85 / $415.04	Professional		$203.89	$236.85	$415.04
Highmark BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $216.10 / $221.98 / $344.73	Professional	53	$216.10	$221.98	$344.73
United Facility/Professional Professional Modifier Low / Median / High Price $251.15 / $382.16 / $636.92	Professional		$251.15	$382.16	$636.92
United Facility/Professional Professional Modifier 53 Low / Median / High Price $220.49 / $220.49 / $220.49	Professional	53	$220.49	$220.49	$220.49