Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $4,073.80	Facility		$812.83	$2,754.23	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $6,309.57 / $6,760.83	Facility	50	$1,412.54	$6,309.57	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $512.86	Professional		$104.71	$223.87	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $354.81 / $1,023.29	Professional	50	$316.23	$354.81	$1,023.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.31 / $36.31 / $37.15	Professional	53	$36.31	$36.31	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $186.21	Facility		$109.65	$134.90	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $512.86	Professional		$213.80	$354.81	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,318.26	Facility		$186.21	$186.21	$1,318.26
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	22	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	53	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $1,445.44	Professional		$109.65	$245.47	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $4,570.88	Facility		$1,949.84	$3,235.94	$4,570.88
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $5,370.32 / $6,918.31	Facility	50	$2,041.74	$5,370.32	$6,918.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $169.82	Professional		$144.54	$147.91	$169.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,454.71	Facility		$691.83	$691.83	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $446.68	Professional		$93.33	$177.83	$446.68