Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.28 / $913.36 / $1,178.76	Facility		$391.28	$913.36	$1,178.76
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.14 / $151.38 / $309.98	Facility	52	$99.14	$151.38	$309.98
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.65 / $60.55 / $123.99	Facility	53	$39.65	$60.55	$123.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $333.09 / $517.76	Professional		$183.36	$333.09	$517.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $227.08 / $294.05	Facility		$189.23	$227.08	$294.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $616.77 / $921.06	Professional		$387.48	$616.77	$921.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $338.16 / $338.16	Facility		$338.16	$338.16	$338.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $443.60 / $929.25	Professional		$212.12	$443.60	$929.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.13 / $1,840.90 / $4,739.56	Facility		$599.13	$1,840.90	$4,739.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.97 / $376.97 / $380.10	Professional		$376.97	$376.97	$380.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.22 / $514.12 / $769.82	Professional		$317.22	$514.12	$769.82