Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $344.99 / $1,400.00	Facility		$228.05	$344.99	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $253.54 / $347.37	Professional		$219.55	$253.54	$347.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.01 / $267.17 / $291.08	Facility		$234.01	$267.17	$291.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $258.74 / $258.74	Professional		$132.83	$258.74	$258.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $251.53	Facility		$251.53	$251.53	$251.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $342.72 / $1,076.41	Professional		$208.33	$342.72	$1,076.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,487.05 / $12,487.05 / $12,630.43	Facility		$12,487.05	$12,487.05	$12,630.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $296.26 / $296.26	Professional		$296.26	$296.26	$296.26
United Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $344.99 / $605.27	Professional		$186.38	$344.99	$605.27