Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.37 / $2,998.60 / $5,010.20	Facility		$2,304.37	$2,998.60	$5,010.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.51 / $164.51 / $248.82	Facility	52	$164.51	$164.51	$248.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.80 / $65.80 / $99.53	Facility	53	$65.80	$65.80	$99.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $376.14 / $500.05	Professional		$317.20	$376.14	$500.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.02 / $373.24 / $484.58	Facility		$311.02	$373.24	$484.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.25 / $484.58 / $721.13	Professional		$317.25	$484.58	$721.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $373.67 / $373.67	Facility		$373.67	$373.67	$373.67
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $435.44 / $958.46	Professional		$264.37	$435.44	$958.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.45 / $2,938.29 / $13,443.23	Facility		$1,139.45	$2,938.29	$13,443.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.41 / $618.41 / $618.41	Professional		$618.41	$618.41	$618.41
United Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $422.99 / $609.61	Professional		$269.32	$422.99	$609.61