Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.24 / $2,459.29 / $3,858.43	Facility		$1,312.24	$2,459.29	$3,858.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.58 / $79.84 / $200.74	Facility	52	$52.58	$79.84	$200.74
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.03 / $31.94 / $80.30	Facility	53	$21.03	$31.94	$80.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $194.79 / $336.09	Professional		$98.34	$194.79	$336.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $119.77 / $156.08	Facility		$99.81	$119.77	$156.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $402.08 / $600.69	Professional		$251.30	$402.08	$600.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $179.49 / $179.49	Facility		$179.49	$179.49	$179.49
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $279.27 / $608.23	Professional		$116.88	$279.27	$608.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,364.95 / $2,710.50 / $5,750.80	Facility		$1,364.95	$2,710.50	$5,750.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $145.51 / $153.54	Professional		$140.47	$145.51	$153.54
United Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $349.76 / $597.94	Professional		$222.09	$349.76	$597.94