Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,584.89 / $3,388.44	Facility		$489.78	$1,584.89	$3,388.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $1,258.93 / $8,912.51	Facility	50	$489.78	$1,258.93	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $354.81	Professional		$85.11	$165.96	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $288.40 / $812.83	Professional	50	$128.82	$288.40	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $154.88	Facility		$89.13	$109.65	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $380.19	Professional		$158.49	$257.04	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $154.88 / $154.88	Facility		$34.67	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $831.76	Professional		$89.13	$186.21	$831.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,089.30 / $3,715.35	Facility		$562.34	$2,089.30	$3,715.35
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $4,570.88 / $7,413.10	Facility	50	$891.25	$4,570.88	$7,413.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	50	$186.21	$186.21	$186.21
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 $70.79 / $131.83 / $363.08	Professional		$70.79	$131.83	$363.08