Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $6,206.35 / $6,206.35	Facility		$154.88	$6,206.35	$6,206.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.16 / $28.16 / $65.34	Facility	53	$28.16	$28.16	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $296.10 / $680.76	Professional		$140.81	$296.10	$680.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.49 / $181.42 / $197.65	Facility		$161.49	$181.42	$197.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $175.69 / $175.69	Professional		$175.69	$175.69	$175.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.94 / $258.94 / $258.94	Facility		$258.94	$258.94	$258.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.79 / $51.79 / $51.79	Facility	53	$51.79	$51.79	$51.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $363.07 / $826.57	Professional		$175.70	$363.07	$826.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.69 / $2,636.62 / $13,364.33	Facility		$1,476.69	$2,636.62	$13,364.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $212.05 / $212.05	Professional		$212.05	$212.05	$212.05
United Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $300.61 / $517.21	Professional		$213.36	$300.61	$517.21