Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.54 / $503.84 / $654.24	Facility		$461.54	$503.84	$654.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.75 / $327.12 / $327.12	Facility	52	$46.75	$327.12	$327.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.05 / $12.05 / $18.70	Facility	53	$12.05	$12.05	$18.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $117.25 / $213.20	Professional		$66.29	$117.25	$213.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.91 / $46.75 / $68.78	Professional	52	$25.91	$46.75	$68.78
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.36 / $17.45 / $24.38	Professional	53	$10.36	$17.45	$24.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $82.55 / $100.90	Facility		$61.15	$82.55	$100.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $214.19 / $215.86	Professional		$73.38	$214.19	$215.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.93 / $107.93 / $107.93	Facility		$107.93	$107.93	$107.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.34 / $86.34 / $86.34	Facility	52	$86.34	$86.34	$86.34
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.59 / $21.59 / $21.59	Facility	53	$21.59	$21.59	$21.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $121.03 / $298.55	Professional		$73.38	$121.03	$298.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.60 / $451.14 / $808.63	Facility		$179.60	$451.14	$808.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $88.48 / $88.48	Professional		$88.48	$88.48	$88.48
United Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $125.52 / $193.04	Professional		$76.42	$125.52	$193.04