Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,695.44 / $5,080.70 / $9,902.90	Facility		$2,695.44	$5,080.70	$9,902.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.60 / $9,120.60 / $9,120.60	Facility	50	$9,120.60	$9,120.60	$9,120.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.84 / $72.84 / $182.88	Facility	52	$72.84	$72.84	$182.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.14 / $29.14 / $73.15	Facility	53	$29.14	$29.14	$73.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $188.04 / $402.32	Professional		$145.69	$188.04	$402.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $490.55 / $490.55 / $490.82	Professional	50	$490.55	$490.55	$490.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $198.86 / $243.05	Facility		$147.30	$198.86	$243.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $766.26 / $794.73	Professional		$176.76	$766.26	$794.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.58 / $263.58 / $263.58	Facility		$263.58	$263.58	$263.58
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $210.86 / $210.86 / $210.86	Facility	52	$210.86	$210.86	$210.86
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	53	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $429.63 / $1,274.65	Professional		$176.76	$429.63	$1,274.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,986.80 / $12,420.71 / $16,630.20	Facility		$2,986.80	$12,420.71	$16,630.20
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $926.54 / $10,095.21 / $17,225.53	Facility	50	$926.54	$10,095.21	$17,225.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $204.21 / $217.81	Professional		$204.21	$204.21	$217.81
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $319.92 / $319.92 / $319.92	Professional	50	$319.92	$319.92	$319.92
United Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $487.64 / $873.80	Professional		$264.39	$487.64	$873.80