Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,830.04 / $11,167.20 / $31,110.24	Facility		$6,830.04	$11,167.20	$31,110.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $337.79 / $337.79 / $516.79	Facility	52	$337.79	$337.79	$516.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $135.11 / $135.11 / $206.71	Facility	53	$135.11	$135.11	$206.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.73 / $1,153.90 / $1,460.96	Professional		$658.73	$1,153.90	$1,460.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.98 / $775.18 / $982.03	Facility		$645.98	$775.18	$982.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.90 / $982.03 / $1,497.73	Professional		$658.90	$982.03	$1,497.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.07 / $753.07 / $753.07	Facility		$753.07	$753.07	$753.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $942.70 / $1,854.74	Professional		$626.05	$942.70	$1,854.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,599.29 / $18,679.20 / $27,446.60	Facility		$8,599.29	$18,679.20	$27,446.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,504.71 / $1,504.71 / $1,507.00	Professional		$1,504.71	$1,504.71	$1,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.78 / $785.15 / $1,402.46	Professional		$516.78	$785.15	$1,402.46