Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,418.00 / $6,915.58 / $15,001.78	Facility		$4,418.00	$6,915.58	$15,001.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,116.78 / $19,116.78 / $19,116.78	Facility	50	$19,116.78	$19,116.78	$19,116.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $665.73 / $1,292.43	Professional		$516.04	$665.73	$1,292.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $573.27 / $687.92 / $862.14	Facility		$573.27	$687.92	$862.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.27 / $859.91 / $1,329.16	Professional		$573.27	$859.91	$1,329.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $691.89	Facility		$691.89	$691.89	$691.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $842.38 / $1,659.78	Professional		$585.63	$842.38	$1,659.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.85 / $7,518.39 / $10,692.51	Facility		$2,524.85	$7,518.39	$10,692.51
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $23,062.90 / $23,062.90 / $23,062.90	Facility	50	$23,062.90	$23,062.90	$23,062.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.43 / $820.08 / $1,301.92	Professional		$762.43	$820.08	$1,301.92
United Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $670.87 / $917.23	Professional		$434.52	$670.87	$917.23