Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,709.64 / $18,197.01	Facility		$2,630.27	$8,709.64	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $39,810.72 / $39,810.72	Facility	50	$9,120.11	$39,810.72	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,202.26	Professional		$489.78	$812.83	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $562.34 / $707.95	Facility		$501.19	$562.34	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $724.44	Professional		$501.19	$549.54	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $4,168.69	Professional		$436.52	$691.83	$4,168.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $14,791.08 / $19,498.45	Facility		$3,090.30	$14,791.08	$19,498.45
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	50	$5,128.61	$5,128.61	$5,128.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Professional		$741.31	$741.31	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Facility		$2,884.03	$2,884.03	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $851.14	Professional		$407.38	$562.34	$851.14