Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $2,522.96 / $6,897.96	Facility		$784.00	$2,522.96	$6,897.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $116.23 / $221.06	Professional		$53.92	$116.23	$221.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $176.60 / $176.60 / $176.60	Professional	50	$176.60	$176.60	$176.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $82.64 / $113.64	Facility		$68.87	$82.64	$113.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $222.61 / $322.58	Professional		$138.47	$222.61	$322.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $123.26 / $123.26	Facility		$123.26	$123.26	$123.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $152.30 / $336.77	Professional		$70.08	$152.30	$336.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.04 / $1,740.04 / $1,740.04	Facility		$1,740.04	$1,740.04	$1,740.04
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,336.38 / $3,336.38 / $3,336.38	Facility	50	$3,336.38	$3,336.38	$3,336.38
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $168.25 / $241.05	Professional		$93.47	$168.25	$241.05