Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $8,511.38	Facility		$562.34	$4,265.80	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $5,128.61 / $7,762.47	Facility	50	$4,677.35	$5,128.61	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $954.99	Professional		$380.19	$478.63	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,412.54 / $1,949.84	Professional	50	$1,047.13	$1,412.54	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $741.31	Facility		$436.52	$537.03	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,000.00	Professional		$407.38	$676.08	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,659.59	Facility		$741.31	$741.31	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $2,570.40	Professional		$398.11	$588.84	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,456.54 / $10,000.00	Facility		$1,479.11	$6,456.54	$10,000.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $7,413.10 / $17,378.01	Facility	50	$7,413.10	$7,413.10	$17,378.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $933.25	Professional		$575.44	$645.65	$933.25
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	50	$912.01	$912.01	$912.01
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 $316.23 / $467.74 / $691.83	Professional		$316.23	$467.74	$691.83