Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,134.90 / $3,134.90 / $9,998.46	Facility		$3,134.90	$3,134.90	$9,998.46
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $612.89 / $612.89 / $612.89	Facility	54	$612.89	$612.89	$612.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $817.18 / $1,655.43	Professional		$599.08	$817.18	$1,655.43
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $97.93 / $122.58 / $215.78	Professional	55	$97.93	$122.58	$215.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $832.61 / $901.85 / $982.57	Facility		$832.61	$901.85	$982.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $768.68 / $826.69 / $977.00	Professional		$768.68	$826.69	$977.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.91 / $914.91 / $914.91	Facility		$914.91	$914.91	$914.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $640.44 / $640.44 / $640.44	Facility	54	$640.44	$640.44	$640.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.84 / $946.18 / $4,254.53	Professional		$698.84	$946.18	$4,254.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,930.99 / $4,142.85 / $5,671.25	Facility		$3,930.99	$4,142.85	$5,671.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.24 / $1,098.24 / $1,875.35	Professional		$1,098.24	$1,098.24	$1,875.35
United Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $807.52 / $1,164.53	Professional		$578.70	$807.52	$1,164.53