Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $1,129.05 / $1,400.00	Facility		$150.85	$1,129.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $285.85 / $1,545.61	Professional		$150.85	$285.85	$1,545.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $131.07	Facility		$109.76	$109.76	$131.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Professional		$116.51	$116.51	$116.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $911.29 / $2,254.83	Professional		$135.93	$911.29	$2,254.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,395.82 / $3,395.82 / $3,395.82	Facility		$3,395.82	$3,395.82	$3,395.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.42 / $267.42 / $267.42	Professional		$267.42	$267.42	$267.42
United Facility/Professional Professional Modifier Low / Median / High Price $864.25 / $1,391.23 / $2,087.62	Professional		$864.25	$1,391.23	$2,087.62