Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $1,783.18 / $4,231.88	Facility		$271.93	$1,783.18	$4,231.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.18 / $38.18 / $108.87	Facility	52	$38.18	$38.18	$108.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.27 / $15.27 / $43.55	Facility	53	$15.27	$15.27	$43.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $170.67 / $448.45	Professional		$77.15	$170.67	$448.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.18 / $60.97 / $115.02	Professional	52	$38.18	$60.97	$115.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.27 / $34.43 / $46.01	Professional	53	$15.27	$34.43	$46.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $102.88 / $125.75	Facility		$76.20	$102.88	$125.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $448.24 / $466.49	Professional		$91.45	$448.24	$466.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $136.34 / $136.34	Facility		$136.34	$136.34	$136.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.07 / $109.07 / $109.07	Facility	52	$109.07	$109.07	$109.07
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.27 / $27.27 / $27.27	Facility	53	$27.27	$27.27	$27.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $264.95 / $558.73	Professional		$91.45	$264.95	$558.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.36 / $2,087.34 / $4,303.39	Facility		$712.36	$2,087.34	$4,303.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $100.86 / $301.43	Professional		$87.48	$100.86	$301.43
United Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $690.00 / $690.00	Facility		$690.00	$690.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $241.48 / $383.05	Professional		$156.55	$241.48	$383.05