Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $290.79 / $1,400.00	Facility		$60.19	$290.79	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $99.36 / $375.52	Professional		$60.19	$99.36	$375.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $76.94 / $112.09	Facility		$69.65	$76.94	$112.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $74.52 / $74.52	Professional		$74.52	$74.52	$74.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $220.30 / $584.41	Professional		$74.52	$220.30	$584.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.69 / $3,469.71 / $5,091.85	Facility		$1,411.69	$3,469.71	$5,091.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,939.42 / $6,939.42 / $6,939.42	Facility	50	$6,939.42	$6,939.42	$6,939.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $82.19	Professional		$82.19	$82.19	$82.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,871.35 / $1,871.35 / $1,871.35	Facility		$1,871.35	$1,871.35	$1,871.35
United Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $255.34 / $425.02	Professional		$165.80	$255.34	$425.02