Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $6,165.95	Facility		$954.99	$2,238.72	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $5,011.87 / $13,489.63	Facility	50	$2,238.72	$5,011.87	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $724.44	Professional		$181.97	$398.11	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $616.60 / $1,737.80	Professional	50	$288.40	$616.60	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $323.59	Facility		$190.55	$234.42	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $912.01	Professional		$380.19	$630.96	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $323.59	Facility		$34.67	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $2,041.74	Professional		$204.17	$436.52	$2,041.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,311.31 / $8,128.31	Facility		$1,380.38	$3,311.31	$8,128.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $7,585.78 / $11,220.18	Facility	50	$1,258.93	$7,585.78	$11,220.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,495.41	Facility		$2,454.71	$2,454.71	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $691.83	Professional		$194.98	$363.08	$691.83