Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,421.76 / $10,433.06 / $22,081.54	Facility		$4,421.76	$10,433.06	$22,081.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,216.88 / $21,561.72 / $22,619.22	Facility	50	$16,216.88	$21,561.72	$22,619.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.82 / $874.47 / $893.41	Professional		$410.82	$874.47	$893.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $531.90 / $650.10	Facility		$394.00	$531.90	$650.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $472.80 / $904.00 / $913.51	Professional		$472.80	$904.00	$913.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.50 / $469.50 / $469.50	Facility		$469.50	$469.50	$469.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.35 / $645.32 / $1,920.82	Professional		$399.35	$645.32	$1,920.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,665.25 / $18,307.55 / $25,885.45	Facility		$7,665.25	$18,307.55	$25,885.45
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $12,269.66 / $20,061.89 / $23,529.24	Facility	50	$12,269.66	$20,061.89	$23,529.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.01 / $455.01 / $455.01	Professional		$455.01	$455.01	$455.01
United Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $524.59 / $777.61	Professional		$339.58	$524.59	$777.61