Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.40 / $1,400.00 / $31,767.40	Facility		$210.40	$1,400.00	$31,767.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.64 / $95.64 / $410.62	Facility	52	$95.64	$95.64	$410.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.26 / $38.26 / $164.25	Facility	53	$38.26	$38.26	$164.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.89 / $259.08 / $939.07	Professional		$179.89	$259.08	$939.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.43 / $237.31 / $258.55	Facility		$214.43	$237.31	$258.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $229.82 / $229.82	Professional		$229.82	$229.82	$229.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.84 / $343.84 / $343.84	Facility		$343.84	$343.84	$343.84
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.07 / $275.07 / $275.07	Facility	52	$275.07	$275.07	$275.07
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.77 / $68.77 / $68.77	Facility	53	$68.77	$68.77	$68.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.83 / $850.53 / $2,197.91	Professional		$229.83	$850.53	$2,197.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,089.58 / $6,199.97 / $8,100.66	Facility		$3,089.58	$6,199.97	$8,100.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $276.33 / $276.33	Professional		$276.33	$276.33	$276.33
United Facility/Professional Professional Modifier Low / Median / High Price $646.46 / $953.87 / $1,591.73	Professional		$646.46	$953.87	$1,591.73