Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $187.27 / $1,600.00	Facility		$135.07	$187.27	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $167.65 / $196.04	Professional		$125.25	$167.65	$196.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $170.06 / $185.29	Facility		$153.55	$170.06	$185.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $164.70	Professional		$164.70	$164.70	$164.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $246.21 / $246.21	Facility		$246.21	$246.21	$246.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $220.91 / $690.66	Professional		$156.47	$220.91	$690.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,364.33 / $13,364.33 / $13,364.33	Facility		$13,364.33	$13,364.33	$13,364.33
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $188.71 / $294.56	Professional		$128.66	$188.71	$294.56