Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $9,120.11	Facility		$1,819.70	$3,981.07	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $776.25	Professional		$281.84	$426.58	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $389.05	Facility		$316.23	$316.23	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,862.09	Facility		$512.86	$512.86	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	22	$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	52	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	53	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,862.09	Professional		$288.40	$426.58	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $15,135.61	Facility		$3,630.78	$7,079.46	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $7,413.10	Facility	50	$1,148.15	$1,148.15	$7,413.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $9,772.37	Facility		$2,454.71	$2,454.71	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $549.54	Professional		$245.47	$354.81	$549.54