Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,459.20 / $6,763.67 / $9,964.94	Facility		$3,459.20	$6,763.67	$9,964.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.23 / $108.23 / $593.46	Facility	52	$108.23	$108.23	$593.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.29 / $43.29 / $237.38	Facility	53	$43.29	$43.29	$237.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $500.96 / $2,261.17	Professional		$232.76	$500.96	$2,261.17
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.18 / $77.81 / $276.50	Professional	53	$38.18	$77.81	$276.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $300.97 / $367.85	Facility		$222.94	$300.97	$367.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $2,480.87 / $2,617.29	Professional		$267.52	$2,480.87	$2,617.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.29 / $394.29 / $394.29	Facility		$394.29	$394.29	$394.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $315.43 / $315.43 / $315.43	Facility	52	$315.43	$315.43	$315.43
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $78.86 / $78.86 / $78.86	Facility	53	$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $752.86 / $2,001.77	Professional		$267.52	$752.86	$2,001.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.09 / $9,511.73 / $15,044.07	Facility		$2,919.09	$9,511.73	$15,044.07
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $11,013.46 / $11,013.46 / $11,013.46	Facility	22	$11,013.46	$11,013.46	$11,013.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.19 / $302.19 / $302.19	Professional		$302.19	$302.19	$302.19
United Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $554.00 / $1,712.02	Professional		$275.77	$554.00	$1,712.02