Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.07 / $2,445.88 / $6,204.94	Facility		$965.07	$2,445.88	$6,204.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,248.48 / $5,036.52 / $13,502.16	Facility	50	$2,248.48	$5,036.52	$13,502.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $401.08 / $503.91	Professional		$191.57	$401.08	$503.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $277.89 / $612.71 / $1,318.76	Professional	50	$277.89	$612.71	$1,318.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $216.14 / $297.20	Facility		$180.12	$216.14	$297.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.71 / $610.74 / $885.02	Professional		$381.71	$610.74	$885.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $326.10 / $326.10	Facility		$326.10	$326.10	$326.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $451.17 / $899.60	Professional		$216.15	$451.17	$899.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.58 / $3,828.45 / $7,419.80	Facility		$1,374.58	$3,828.45	$7,419.80
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,580.95 / $7,032.50 / $11,140.12	Facility	50	$1,580.95	$7,032.50	$11,140.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.20 / $268.20 / $268.20	Professional		$268.20	$268.20	$268.20
United Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $534.39 / $794.96	Professional		$311.76	$534.39	$794.96