Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.66 / $1,117.66 / $5,235.04	Facility		$1,117.66	$1,117.66	$5,235.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.57 / $175.57 / $220.89	Facility	54	$175.57	$175.57	$220.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $290.12 / $411.05	Professional		$227.86	$290.12	$411.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $718.83 / $718.83 / $718.83	Professional	50	$718.83	$718.83	$718.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $175.57 / $220.89 / $308.29	Professional	54	$175.57	$220.89	$308.29
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.11 / $44.18 / $61.66	Professional	55	$35.11	$44.18	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $264.75 / $349.47	Facility		$211.80	$264.75	$349.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $352.42 / $608.70	Professional		$269.14	$352.42	$608.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.32 / $387.32 / $387.32	Facility		$387.32	$387.32	$387.32
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $271.12 / $271.12 / $271.12	Facility	54	$271.12	$271.12	$271.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $381.56 / $1,089.80	Professional		$275.33	$381.56	$1,089.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $1,592.00 / $3,335.44	Facility		$1,592.00	$1,592.00	$3,335.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.61 / $2,791.61 / $2,791.61	Facility	50	$2,791.61	$2,791.61	$2,791.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $405.43 / $473.61	Professional		$324.89	$405.43	$473.61
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $808.01 / $808.01 / $808.01	Professional	50	$808.01	$808.01	$808.01
United Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $390.62 / $633.62	Professional		$225.05	$390.62	$633.62