Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,786.16 / $3,880.79 / $6,877.04	Facility		$2,786.16	$3,880.79	$6,877.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $142.26 / $142.26 / $142.26	Facility	52	$142.26	$142.26	$142.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.90 / $56.90 / $56.90	Facility	53	$56.90	$56.90	$56.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.51 / $343.26 / $646.09	Professional		$284.51	$343.26	$646.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $355.80 / $387.65	Facility		$319.83	$355.80	$387.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $344.58 / $344.58	Professional		$344.58	$344.58	$344.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.11 / $342.11 / $342.11	Facility		$342.11	$342.11	$342.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $266.33 / $266.33 / $266.33	Facility	52	$266.33	$266.33	$266.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.59 / $66.59 / $66.59	Facility	53	$66.59	$66.59	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $444.49 / $1,821.52	Professional		$291.33	$444.49	$1,821.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,663.59 / $7,506.25 / $15,999.77	Facility		$3,663.59	$7,506.25	$15,999.77
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,135.58 / $1,135.58 / $11,395.10	Facility	50	$1,135.58	$1,135.58	$11,395.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.79 / $430.79 / $430.79	Professional		$430.79	$430.79	$430.79
United Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $371.77 / $563.52	Professional		$246.46	$371.77	$563.52